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1215790274
MAKENNA BLACK
KNOXVILLE, TN
NPI
1215790274
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: TN 35631)
Enumeration Date
2024-02-02
Last Update Date
2024-02-02
Business Address
MAKENNA BLACK
1930 ALCOA HWY STE 145
KNOXVILLE, TN 37920-1546
Phone number: 865-305-9749
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Mailing Address
MAKENNA BLACK
7216 HALLBROOK RD
KNOXVILLE, TN 37918-9419
Phone number:
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