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1548670557
TRACI C GRIME
MARYVILLE, TN
NPI
1548670557
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 18689)
Enumeration Date
2014-04-29
Last Update Date
2017-05-05
Business Address
-- TRACI C GRIME NP
907 E LAMAR ALEXANDER PKWY
MARYVILLE, TN 37804-5015
Phone number: 865-980-4897
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Mailing Address
-- TRACI C GRIME NP
PO BOX 5777
MARYVILLE, TN 37802-5777
Phone number: 865-246-2104
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