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1831689611
PETRA ANNA URBAN
LENOIR CITY, TN
NPI
1831689611
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Former Name
PETRA ANNA BETANCOURT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183700000X Pharmacy Technician
(Licence: TN 15671)
Enumeration Date
2018-05-16
Last Update Date
2018-05-16
Business Address
PETRA ANNA URBAN CPhT
501 ADESA BLVD STE A150
LENOIR CITY, TN 37771-6719
Phone number: 865-986-8082
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Mailing Address
PETRA ANNA URBAN CPhT
1923 SULPHUR SPRINGS RD
MORRISTOWN, TN 37813-5654
Phone number: 423-317-9344
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