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1922344761
GRANT P HALL
COOKEVILLE, TN
NPI
1922344761
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN APN16971)
Enumeration Date
2012-12-26
Last Update Date
2012-12-26
Business Address
-- GRANT P HALL FNP-BC
1362 IVY LN
COOKEVILLE, TN 38501-3057
Phone number: 423-920-1364
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Mailing Address
-- GRANT P HALL FNP-BC
1362 IVY LANE
COOKEVILLE, TN 38501
Phone number: 423-920-1364
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