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1811431406
GENESIA DICKSON IRICK
KINGSPORT, TN
NPI
1811431406
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 22008)
Enumeration Date
2016-12-15
Last Update Date
2016-12-15
Business Address
-- GENESIA DICKSON IRICK FNP
10461 WALLACE ALLEY ST
KINGSPORT, TN 37663-3936
Phone number: 423-279-1400
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Mailing Address
-- GENESIA DICKSON IRICK FNP
2756 BOB LITTLE RD
ELIZABETHTON, TN 37643-7222
Phone number: 423-202-2274
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