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1245309590
GERVAIS LUCILLE ASHLEY
JOHNSON CITY, TN
NPI
1245309590
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TN APN6994)
Enumeration Date
2006-11-08
Last Update Date
2007-07-08
Business Address
-- GERVAIS LUCILLE ASHLEY APRN
109 WEST WATAUGA AVENUE WATAUGA BEHAVIORAL HEALTH SERVICES
JOHNSON CITY, TN 37605
Phone number: 423-232-2600
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Mailing Address
-- GERVAIS LUCILLE ASHLEY APRN
PO BOX 9054
GRAY, TN 37615-9054
Phone number: 423-467-3600
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