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1295281145
TRACIE HERRELL
HARROGATE, TN
NPI
1295281145
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 21080)
Enumeration Date
2016-08-31
Last Update Date
2016-08-31
Business Address
-- TRACIE HERRELL FNP
159 PICCADILLY AVE
HARROGATE, TN 37752
Phone number: 865-368-8602
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Mailing Address
-- TRACIE HERRELL FNP
PO BOX 501
KODAK, TN 37764-0501
Phone number: 865-368-8602
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