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1386414225
SHASTA PATRICK
KNOXVILLE, TN
NPI
1386414225
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 35037)
Enumeration Date
2024-01-02
Last Update Date
2024-02-15
Business Address
SHASTA PATRICK NP
8635 MIDDLEBROOK PIKE
KNOXVILLE, TN 37923-1612
Phone number: 865-824-0072
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Mailing Address
SHASTA PATRICK NP
1275 DICK LONAS RD UNIT 101
KNOXVILLE, TN 37909-1383
Phone number: 865-584-4747
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