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1972128080
KAYLA RAE TATE
MARYVILLE, TN
NPI
1972128080
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Former Name
KAYLA RAE HARRISON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 27720)
Enumeration Date
2020-06-15
Last Update Date
2022-05-17
Business Address
KAYLA RAE TATE FNP-BC
2012 CHILHOWEE MEDICAL PARK
MARYVILLE, TN 37804-5285
Phone number: 865-981-8838
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Mailing Address
KAYLA RAE TATE FNP-BC
101 GLENLEIGH CT
KNOXVILLE, TN 37934-3052
Phone number: 865-888-4721
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