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1316259203
MICKI LEE WHITLOCK
ELIZABETHTON, TN
NPI
1316259203
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 15083)
Enumeration Date
2010-07-08
Last Update Date
2010-07-08
Business Address
Mrs. MICKI LEE WHITLOCK NP-C
2521 BEECHWOOD DR
ELIZABETHTON, TN 37643-5062
Phone number: 423-543-7919
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Mailing Address
Mrs. MICKI LEE WHITLOCK NP-C
2521 BEECHWOOD DR
ELIZABETHTON, TN 37643-5062
Phone number: 423-543-7919
Copy
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