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1205468923
BOBBY RAY NICHOLS
MOUNTAIN CITY, TN
NPI
1205468923
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TN 26999)
Enumeration Date
2020-02-11
Last Update Date
2021-11-10
Business Address
BOBBY RAY NICHOLS FNP-C
1901 S SHADY ST
MOUNTAIN CITY, TN 37683-2021
Phone number: 423-727-1150
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Mailing Address
BOBBY RAY NICHOLS FNP-C
PO BOX 70403
JOHNSON CITY, TN 37614-1703
Phone number: 423-439-4059
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