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1487016333
TRAVIS LAKIN
MARYVILLE, TN
NPI
1487016333
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN APN0000021100)
Enumeration Date
2016-03-21
Last Update Date
2017-05-02
Business Address
-- TRAVIS LAKIN
162 BMH PHYSICIANS OFFICE BLDG
MARYVILLE, TN 37804-5902
Phone number: 865-982-7681
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Mailing Address
-- TRAVIS LAKIN
103 W BROADWAY AVE
MARYVILLE, TN 37801-4703
Phone number: 865-273-1752
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