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1275693921
LARRY GENE CRISP
DECATUR, TN
NPI
1275693921
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN APN 7946)
Enumeration Date
2006-12-11
Last Update Date
2024-02-23
Business Address
Mr. LARRY GENE CRISP CFNP
16850 STATE HIGHWAY 58 S STE A
DECATUR, TN 37322-5259
Phone number: 423-334-2300
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Mailing Address
Mr. LARRY GENE CRISP CFNP
139 COUNTY ROAD 100
DECATUR, TN 37322-5005
Phone number:
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