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1205247699
ICP TENNESSEE, LLC
KNOXVILLE, TN
NPI
1205247699
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Entity Type
Organization
Authorized Contact
RODNEY THOMASON
Authorized Official
855-498-6767
Organization Subpart ?
No
Primary Taxonomy
364S00000X Clinical Nurse Specialist
Enumeration Date
2014-05-19
Last Update Date
2021-05-12
Business Address
ICP TENNESSEE, LLC
200 PROSPERITY PLACE
KNOXVILLE, TN 37923
Phone number: 855-498-6767
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Mailing Address
ICP TENNESSEE, LLC
PO BOX 9178
RUSSELLVILLE, AR 72811-9178
Phone number: 855-498-6767
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