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1629400064
LAURA GREEN EATON
BRISTOL, TN
NPI
1629400064
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TN 17719)
Enumeration Date
2013-08-08
Last Update Date
2013-08-09
Business Address
-- LAURA GREEN EATON FNP
1 MEDICAL PARK BLVD
BRISTOL, TN 37620-7430
Phone number: 423-844-1121
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Mailing Address
-- LAURA GREEN EATON FNP
PO BOX 11827
DAYTONA BEACH, FL 32120-1827
Phone number: 423-239-9737
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