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1356092571
JOHN MARVIN LYTLE
CLEVELAND, TN
NPI
1356092571
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: TN 30618)
Enumeration Date
2022-01-11
Last Update Date
2022-01-11
Business Address
JOHN MARVIN LYTLE
2020 WESTLAND DR SW
CLEVELAND, TN 37311-8163
Phone number: 423-478-1970
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Mailing Address
JOHN MARVIN LYTLE
5346 COLLEGEVIEW DR
OOLTEWAH, TN 37363-8734
Phone number: 772-349-1084
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