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1447735311
NIKKI REALIN
SPARTA, TN
NPI
1447735311
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 24271)
Enumeration Date
2018-09-26
Last Update Date
2020-05-21
Business Address
NIKKI REALIN
135 WALKER ST
SPARTA, TN 38583-1725
Phone number: 931-836-2201
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Mailing Address
NIKKI REALIN
1100 ENGLAND DR
COOKEVILLE, TN 38501-0924
Phone number: 931-520-4466
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