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1972067395
ALICE VICTORIA LILLY
JOHNSON CITY, TN
NPI
1972067395
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: TN 25417)
Enumeration Date
2019-01-30
Last Update Date
2023-08-30
Business Address
MRS. ALICE VICTORIA LILLY FNP-C
410 N STATE OF FRANKLIN RD STE 135
JOHNSON CITY, TN 37604-6972
Phone number: 423-431-2350
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Mailing Address
MRS. ALICE VICTORIA LILLY FNP-C
1021 W OAKLAND AVE STE 310
JOHNSON CITY, TN 37604-2192
Phone number: 423-302-6565
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