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1356307417
ELIZABETH GAIL CICUTTO
COOKEVILLE, TN
NPI
1356307417
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: TN 1336)
Enumeration Date
2006-04-25
Last Update Date
2007-07-08
Business Address
-- ELIZABETH GAIL CICUTTO P.A.
112 N WALNUT AVE
COOKEVILLE, TN 38501-2554
Phone number: 931-520-1414
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Mailing Address
-- ELIZABETH GAIL CICUTTO P.A.
PO BOX 1210
COOKEVILLE, TN 38503-1210
Phone number: 931-520-1414
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