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1669552915
PHYLLIS JEAN TRIVETT
JOHNSON CITY, TN
NPI
1669552915
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: TN RN92682)
Enumeration Date
2006-10-17
Last Update Date
2007-07-08
Business Address
Ms. PHYLLIS JEAN TRIVETT RN
900 BUFFALO ST
JOHNSON CITY, TN 37604
Phone number: 423-232-4130
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Mailing Address
Ms. PHYLLIS JEAN TRIVETT RN
PO BOX 9054
GRAY, TN 37615-9054
Phone number: 423-467-3600
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