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1851054050
AMANDA WALLS
HARRIMAN, TN
NPI
1851054050
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TN 30264)
Enumeration Date
2021-10-15
Last Update Date
2023-08-18
Business Address
AMANDA WALLS
384 LANCER RD
HARRIMAN, TN 37748
Phone number: 865-410-4611
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Mailing Address
AMANDA WALLS
384 LANCER RD
HARRIMAN, TN 37748
Phone number:
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