MALLORY ELISHA VINSANT

HARROGATE, TN
NPI1285001511
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: TN  2686)
Enumeration Date2015-08-21
Last Update Date2015-08-21
Business Address
-- MALLORY ELISHA VINSANT PA-C
165 WESTMORELAND ST
HARROGATE, TN 37752-8202
Phone number: 423-869-7193
Mailing Address
-- MALLORY ELISHA VINSANT PA-C
165 WESTMORELAND ST
HARROGATE, TN 37752-8202
Phone number: 423-869-7193
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