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1780328377
SAMUEL RUSSEL PETRIE
NASHVILLE, TN
NPI
1780328377
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-04-21
Last Update Date
2022-04-21
Business Address
SAMUEL RUSSEL PETRIE MD
1601 23RD AVE S RM 3106
NASHVILLE, TN 37212-3133
Phone number: 615-327-7119
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Mailing Address
SAMUEL RUSSEL PETRIE MD
1601 23RD AVE S RM 3106
NASHVILLE, TN 37212-3133
Phone number: 615-327-7119
Copy
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