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1841638020
MICHAEL RAY IVY
KNOXVILLE, TN
NPI
1841638020
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: TN RN0000154855)
Enumeration Date
2013-06-10
Last Update Date
2013-06-10
Business Address
-- MICHAEL RAY IVY
201 W SPRINGDALE AVE
KNOXVILLE, TN 37917-5158
Phone number: 865-637-9711
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Mailing Address
-- MICHAEL RAY IVY
201 W SPRINGDALE AVE
KNOXVILLE, TN 37917-5158
Phone number: 865-637-9711
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