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1356136501
VIVID PATH LLC
OAK RIDGE, TN
NPI
1356136501
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Entity Type
Organization
Authorized Contact
AMBER JORDAN
Owner
865-217-6080
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner Psychiatric/Mental Health
Enumeration Date
2025-04-10
Last Update Date
2025-04-15
Business Address
VIVID PATH LLC
665 EMORY VALLEY RD STE B
OAK RIDGE, TN 37830-7762
Phone number: 865-217-6080
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Mailing Address
VIVID PATH LLC
665 EMORY VALLEY RD STE B
OAK RIDGE, TN 37830-7762
Phone number: 865-217-6080
Copy
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