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1558797142
PHILLIP MATTHEW REAGAN
KNOXVILLE, TN
NPI
1558797142
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TN 142151)
Enumeration Date
2013-09-16
Last Update Date
2013-09-16
Business Address
Mr. PHILLIP MATTHEW REAGAN CRNA
1924 ALCOA HWY
KNOXVILLE, TN 37920-1511
Phone number: 865-305-9220
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Mailing Address
Mr. PHILLIP MATTHEW REAGAN CRNA
PO BOX 51947
KNOXVILLE, TN 37950-1947
Phone number: 865-588-0880
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