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1902164775
TARRA A WILSON
LA FOLLETTE, TN
NPI
1902164775
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN APN16554)
Enumeration Date
2012-04-30
Last Update Date
2020-09-02
Business Address
TARRA A WILSON FNP
905 E CENTRAL AVE
LA FOLLETTE, TN 37766-2768
Phone number: 423-907-1600
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Mailing Address
TARRA A WILSON FNP
905 E CENTRAL AVE
LA FOLLETTE, TN 37766-2768
Phone number: 423-907-1600
Copy
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