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1558378133
DELANA E POTTER
JACKSON, TN
NPI
1558378133
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TX 0000010789)
Enumeration Date
2006-08-03
Last Update Date
2007-07-08
Business Address
-- DELANA E POTTER CRNA
36 BRENTSHIRE SQ
JACKSON, TN 38305-2245
Phone number: 731-664-1717
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Mailing Address
-- DELANA E POTTER CRNA
1318 CAPOOTH RD
RAMER, TN 38367-6163
Phone number: 731-693-4858
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