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1396256004
ANGELA MILLICAN
KINGSPORT, TN
NPI
1396256004
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 22781)
Enumeration Date
2017-10-20
Last Update Date
2020-01-06
Business Address
ANGELA MILLICAN FNP
105 W STONE DR STE 1F
KINGSPORT, TN 37660-3365
Phone number: 423-230-2420
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Mailing Address
ANGELA MILLICAN FNP
PO BOX 9
KINGSPORT, TN 37662-0009
Phone number: 423-857-2066
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