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1548210800
R GLENN DAVIS
KINGSPORT, TN
NPI
1548210800
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TN RN35683)
Enumeration Date
2006-05-10
Last Update Date
2007-07-08
Business Address
-- R GLENN DAVIS CRNA
2000 BROOKSIDE DR
KINGSPORT, TN 37660-4627
Phone number: 423-857-7000
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Mailing Address
-- R GLENN DAVIS CRNA
238 LAKE MEADOW DR
JOHNSON CITY, TN 37615-4015
Phone number:
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