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1376678144
ALICE M WISE
JACKSON, TN
NPI
1376678144
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: TN 33070)
Enumeration Date
2007-02-22
Last Update Date
2007-07-08
Business Address
-- ALICE M WISE RN
295 SUMMAR DR
JACKSON, TN 38301-3905
Phone number: 731-421-6793
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Mailing Address
-- ALICE M WISE RN
295 SUMMAR DR
JACKSON, TN 38301-3905
Phone number: 731-421-6793
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