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1720841042
BROKEN ARROW
JEFFERSON CITY, TN
NPI
1720841042
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Entity Type
Organization
Authorized Contact
CRISSY SHANK
Manager
931-761-5732
Organization Subpart ?
No
Primary Taxonomy
207QA0401X Family Medicine Addiction Medicine
Enumeration Date
2024-01-31
Last Update Date
2024-01-31
Business Address
BROKEN ARROW
1009 E HIGHWAY 11 E
JEFFERSON CITY, TN 37760-4910
Phone number: 865-935-0411
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Mailing Address
BROKEN ARROW
1009 E HIGHWAY 11 E
JEFFERSON CITY, TN 37760-4910
Phone number: 865-935-0411
Copy
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