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1225698061
JARED DANIEL COSTON
CHATTANOOGA, TN
NPI
1225698061
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: TN 25536)
Enumeration Date
2019-06-14
Last Update Date
2019-06-14
Business Address
Mr. JARED DANIEL COSTON AGACNP-BC
975 E 3RD ST
CHATTANOOGA, TN 37403-2147
Phone number: 423-778-9001
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Mailing Address
Mr. JARED DANIEL COSTON AGACNP-BC
621 MEMORIAL DR APT 1706
CHATTANOOGA, TN 37415-5526
Phone number: 336-816-0087
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