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1275097503
CLINT W SELVAGE
WINCHESTER, TN
NPI
1275097503
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 25420)
Enumeration Date
2019-01-31
Last Update Date
2019-01-31
Business Address
CLINT W SELVAGE FNP
2401 DECHERD BLVD
WINCHESTER, TN 37398-1164
Phone number: 931-313-1388
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Mailing Address
CLINT W SELVAGE FNP
2707 SIXTEENTH MODEL RD
MANCHESTER, TN 37355-4858
Phone number: 931-570-0234
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