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1558832758
KISANDRA LEIGH RICKARD
TAZEWELL, TN
NPI
1558832758
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner Pediatrics
(Licence: TN 29250)
Enumeration Date
2018-12-16
Last Update Date
2024-08-15
Business Address
KISANDRA LEIGH RICKARD APRN
1610 TAZEWELL ROAD SUITE 203
TAZEWELL, TN 37879-3648
Phone number: 423-259-3701
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Mailing Address
KISANDRA LEIGH RICKARD APRN
PO BOX 15004
KNOXVILLE, TN 37901-5004
Phone number: 865-541-8895
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