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1487101036
PATRICIA MANTOOTH
NEWPORT, TN
NPI
1487101036
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 21587)
Enumeration Date
2016-09-01
Last Update Date
2016-09-01
Business Address
-- PATRICIA MANTOOTH NP
756 COSBY HWY
NEWPORT, TN 37821-3455
Phone number: 423-237-6546
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Mailing Address
-- PATRICIA MANTOOTH NP
5141 VIRGINIA WAY SUITE 390
BRENTWOOD, TN 37027-7572
Phone number: 615-988-1571
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