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1346668050
MIRANDA BOSTIC
SEVIERVILLE, TN
NPI
1346668050
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TN 26208)
Enumeration Date
2014-03-31
Last Update Date
2020-02-04
Business Address
MIRANDA BOSTIC NP
1096 ALPINE DR
SEVIERVILLE, TN 37876-7825
Phone number: 844-814-2030
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Mailing Address
MIRANDA BOSTIC NP
307 CLOVER CIR
JACKSBORO, TN 37757-4643
Phone number: 423-494-9100
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