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1477890176
RYAN MATTHEW NISWANDER
LAWRENCEBURG, TN
NPI
1477890176
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 17306)
Enumeration Date
2013-01-15
Last Update Date
2018-11-14
Business Address
RYAN MATTHEW NISWANDER NP-C
1250 1ST AVE
LAWRENCEBURG, TN 38464
Phone number: 931-244-7217
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Mailing Address
RYAN MATTHEW NISWANDER NP-C
24 JONES LN
LAWRENCEBURG, TN 38464-6870
Phone number: 931-244-7217
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