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1225399918
MISTICA RAE NICELY
KNOXVILLE, TN
NPI
1225399918
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2012-05-30
Last Update Date
2012-05-30
Business Address
-- MISTICA RAE NICELY BA
201 W SPRINGDALE AVE
KNOXVILLE, TN 37917-5158
Phone number: 865-637-9711
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Mailing Address
-- MISTICA RAE NICELY BA
201 W SPRINGDALE AVE
KNOXVILLE, TN 37917-5158
Phone number: 865-637-9711
Copy
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