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1386975738
AMANDA R ROARK
JOHNSON CITY, TN
NPI
1386975738
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TN 82957)
Enumeration Date
2010-01-26
Last Update Date
2019-04-25
Business Address
AMANDA R ROARK CRNA
601 MED TECH PKWY
JOHNSON CITY, TN 37604-2253
Phone number: 423-610-1020
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Mailing Address
AMANDA R ROARK CRNA
1009 LARK ST STE 2
JOHNSON CITY, TN 37604-8218
Phone number: 423-844-2686
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