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1356075758
DANIEL RYAN TABOR
KNOXVILLE, TN
NPI
1356075758
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TN 32014)
Enumeration Date
2022-07-12
Last Update Date
2022-07-12
Business Address
DANIEL RYAN TABOR FPMHNP
1924 ALCOA HWY
KNOXVILLE, TN 37920-1511
Phone number: 865-305-9081
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Mailing Address
DANIEL RYAN TABOR FPMHNP
10022 FOX COVE RD
KNOXVILLE, TN 37922-4291
Phone number: 865-335-9765
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