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1376062125
JENNIFER RAE PROVINCE
MORRISTOWN, TN
NPI
1376062125
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-09-13
Last Update Date
2017-09-13
Business Address
Mrs. JENNIFER RAE PROVINCE
320 W 3RD NORTH ST
MORRISTOWN, TN 37814-4038
Phone number: 423-581-2411
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Mailing Address
Mrs. JENNIFER RAE PROVINCE
201 W SPRINGDALE AVE
KNOXVILLE, TN 37917-5158
Phone number: 865-637-9711
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