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1225652720
KATHERINE GRESHAM
JACKSBORO, TN
NPI
1225652720
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 27593)
Enumeration Date
2020-06-01
Last Update Date
2020-06-01
Business Address
KATHERINE GRESHAM FNP
2702 JACKSBORO PIKE
JACKSBORO, TN 37757-4850
Phone number: 423-201-9937
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Mailing Address
KATHERINE GRESHAM FNP
328 OAK ST
CLINTON, TN 37716-2947
Phone number:
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