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1992240808
ROGER DWAYNE SHOCKEY
JOHNSON CITY, TN
NPI
1992240808
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN APN0000022052)
Enumeration Date
2017-01-01
Last Update Date
2017-01-01
Business Address
-- ROGER DWAYNE SHOCKEY FNP
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604-6035
Phone number: 423-431-6111
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Mailing Address
-- ROGER DWAYNE SHOCKEY FNP
828 WINCHESTER DR
GREENEVILLE, TN 37743-6050
Phone number: 423-620-4558
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