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1881147692
DERETSA PERRY
JOHNSON CITY, TN
NPI
1881147692
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 21518)
Enumeration Date
2016-07-28
Last Update Date
2017-02-21
Business Address
-- DERETSA PERRY NP
310 N STATE OF FRANKLIN RD SUITE 400
JOHNSON CITY, TN 37604-6008
Phone number: 423-979-6000
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Mailing Address
-- DERETSA PERRY NP
310 N STATE OF FRANKLIN RD SUITE 400
JOHNSON CITY, TN 37604-6008
Phone number: 423-979-6000
Copy
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