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1396814695
LEEANN FAIRALL
ALCOA, TN
NPI
1396814695
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TN 156)
Enumeration Date
2006-11-08
Last Update Date
2008-01-03
Business Address
Ms. LEEANN FAIRALL PA-C
266 JOULE ST
ALCOA, TN 37701-2422
Phone number: 865-984-3864
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Mailing Address
Ms. LEEANN FAIRALL PA-C
PO BOX 5358
MARYVILLE, TN 37802-5358
Phone number: 865-681-9148
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