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1699272013
THE ADELINE CENTER
MOUNT JULIET, TN
NPI
1699272013
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Entity Type
Organization
Authorized Contact
JASON WEST
Agent
865-406-1465
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner Psychiatric/Mental Health
Enumeration Date
2018-04-11
Last Update Date
2018-04-11
Business Address
THE ADELINE CENTER
105 VANNER RD
MOUNT JULIET, TN 37122-4628
Phone number: 865-406-1465
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Mailing Address
THE ADELINE CENTER
105 VANNER RD
MOUNT JULIET, TN 37122-4628
Phone number:
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