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1770112096
EVAN SMITH
TULLAHOMA, TN
NPI
1770112096
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: TN 27280)
Enumeration Date
2020-04-07
Last Update Date
2022-05-31
Business Address
MR. EVAN SMITH FNP-BC
1805 N JACKSON ST
TULLAHOMA, TN 37388-2290
Phone number: 931-455-7767
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Mailing Address
MR. EVAN SMITH FNP-BC
1805 N JACKSON ST
TULLAHOMA, TN 37388-2290
Phone number: 931-455-7767
Copy
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