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1407928781
CRESCENTIA SPARE VINSON
CLARKSVILLE, TN
NPI
1407928781
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: TN 94900)
Enumeration Date
2006-11-14
Last Update Date
2007-07-08
Business Address
MS. CRESCENTIA SPARE VINSON NP
556B FIRE STATION RD
CLARKSVILLE, TN 37043-4016
Phone number: 931-648-9595
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Mailing Address
MS. CRESCENTIA SPARE VINSON NP
2068 ROXBURY LN
CLARKSVILLE, TN 37043-2112
Phone number: 931-647-7537
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