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1912478280
THOMAS CHRISTIAN AGNEW
FORT CAMPBELL, KY
NPI
1912478280
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: VA 0024177034)
Enumeration Date
2018-12-16
Last Update Date
2022-08-11
Business Address
THOMAS CHRISTIAN AGNEW FNP-BC
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 270-412-9320
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Mailing Address
THOMAS CHRISTIAN AGNEW FNP-BC
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 270-412-9320
Copy
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