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1477391894
JUSTIN BROUGHTON
KINGSPORT, TN
NPI
1477391894
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN APN0000036082)
Enumeration Date
2024-07-18
Last Update Date
2024-11-04
Business Address
JUSTIN BROUGHTON FNP-C
130 W RAVINE RD STE 3A
KINGSPORT, TN 37660-3841
Phone number: 828-380-0465
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Mailing Address
JUSTIN BROUGHTON FNP-C
1021 W OAKLAND AVE STE 310
JOHNSON CITY, TN 37604-2192
Phone number: 423-952-2111
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