CASEY WILSON

HARROGATE, TN
NPI1346917978
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: TN  APN30119)
Enumeration Date2021-08-23
Last Update Date2021-08-23
Business Address
CASEY WILSON APN
170 BEECH ST STE 1
HARROGATE, TN 37752-8251
Phone number: 865-579-6756
Mailing Address
CASEY WILSON APN
170 BEECH ST STE 1
HARROGATE, TN 37752-8251
Phone number: 865-579-6756
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