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1619551322
BOB CAVES
DEER LODGE, TN
NPI
1619551322
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: TN 91839)
Enumeration Date
2021-05-09
Last Update Date
2021-05-09
Business Address
BOB CAVES LPN
222 RED WING LN
DEER LODGE, TN 37726-3815
Phone number: 931-704-6489
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Mailing Address
BOB CAVES LPN
PO BOX 565
DEER LODGE, TN 37726-0565
Phone number: 931-704-6489
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