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1316471543
CRYSTAL CHAMBLISS
CORDOVA, TN
NPI
1316471543
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: TN 22554)
Enumeration Date
2017-04-13
Last Update Date
2017-04-13
Business Address
-- CRYSTAL CHAMBLISS
7940 REGATTA DR
CORDOVA, TN 38016-1342
Phone number: 800-897-9177
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Mailing Address
-- CRYSTAL CHAMBLISS
7940 REGATTA DR APT 402
CORDOVA, TN 38016-1343
Phone number:
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