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1316719586
SARA MAKAYLA BLAYLOCK
COOKEVILLE, TN
NPI
1316719586
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 34197)
Enumeration Date
2023-10-23
Last Update Date
2024-06-28
Business Address
SARA MAKAYLA BLAYLOCK
438 N WHITNEY AVE
COOKEVILLE, TN 38501-2455
Phone number: 931-783-2616
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Mailing Address
SARA MAKAYLA BLAYLOCK
345 LONE OAK DR
COOKEVILLE, TN 38501-3712
Phone number: 931-510-6650
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