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1386920668
REGINA L DAVIS
JOHNSON CITY, TN
NPI
1386920668
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: TN LPN58000)
Enumeration Date
2011-10-31
Last Update Date
2011-10-31
Business Address
-- REGINA L DAVIS LPN
200 W FAIRVIEW AVE
JOHNSON CITY, TN 37604-5611
Phone number: 877-928-9062
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Mailing Address
-- REGINA L DAVIS LPN
1167 SPRATLIN PARK DR
GRAY, TN 37615-6205
Phone number: 423-467-3600
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