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1518420256
LISA CONDRA SWAFFORD
CLEVELAND, TN
NPI
1518420256
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: TN 0000025637)
Enumeration Date
2019-04-10
Last Update Date
2019-04-10
Business Address
LISA CONDRA SWAFFORD
4021 KEITH ST NW
CLEVELAND, TN 37312-4341
Phone number: 423-476-2464
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Mailing Address
LISA CONDRA SWAFFORD
790 ARMSTRONG RD SE
CLEVELAND, TN 37323-8404
Phone number: 423-933-5742
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