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1487789590
TAWANNA LISIC
COOKEVILLE, TN
NPI
1487789590
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-02-22
Last Update Date
2007-07-08
Business Address
TAWANNA LISIC
665 S JEFFERSON AVE
COOKEVILLE, TN 38501-4011
Phone number: 931-528-0051
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Mailing Address
TAWANNA LISIC
446 METROPLEX DR SUITE A-100
NASHVILLE, TN 37211-3139
Phone number:
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