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1730537481
ALEX OLEG RONIN
SODDY DAISY, TN
NPI
1730537481
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN apn0000021206)
Enumeration Date
2016-06-02
Last Update Date
2016-12-13
Business Address
-- ALEX OLEG RONIN ANP
210 WALMART DR
SODDY DAISY, TN 37379-5022
Phone number: 423-332-6155
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Mailing Address
-- ALEX OLEG RONIN ANP
1949 GUNBARREL RD SUITE 230
CHATTANOOGA, TN 37421-3188
Phone number: 423-495-4349
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