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1891225116
KELLEE A ETGHAYI
JACKSON, TN
NPI
1891225116
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TN 23140)
Enumeration Date
2017-06-19
Last Update Date
2023-10-25
Business Address
KELLEE A ETGHAYI A.P.R.N.
145 INNOVATION DR
JACKSON, TN 38305-3019
Phone number: 731-422-0213
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Mailing Address
KELLEE A ETGHAYI A.P.R.N.
PO BOX 400
JACKSON, TN 38302-0400
Phone number: 731-425-5752
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