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1942509005
TIA NICOLE ANDERSON
LEWISBURG, TN
NPI
1942509005
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2011-03-15
Last Update Date
2011-03-16
Business Address
-- TIA NICOLE ANDERSON
1601 NASHVILLE HWY
LEWISBURG, TN 37091-2948
Phone number: 931-359-0307
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Mailing Address
-- TIA NICOLE ANDERSON
2121 PHILLIPS ST
LEWISBURG, TN 37091-3034
Phone number: 931-309-6486
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