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1558136861
LUTSIA AHMATGARAEVA
MARYVILLE, TN
NPI
1558136861
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Other Name
LUTSIA MCDANIEL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 34088)
Enumeration Date
2023-11-16
Last Update Date
2023-11-16
Business Address
LUTSIA AHMATGARAEVA FNP
3006 MARVIN CIR
MARYVILLE, TN 37803-0565
Phone number: 865-256-4330
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Mailing Address
LUTSIA AHMATGARAEVA FNP
3006 MARVIN CIR
MARYVILLE, TN 37803-0565
Phone number: 865-256-4330
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