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JASON FAGAN

Licensed Practical Nurse

NPI: 1730377219Individual

Specialties, Licenses & Credentials

Licensed Practical Nurse

Code: 164W00000X

71626(TN)

Contact & Hours

Address
405 ORCHARD RD
ELIZABETHTON, TN 37643

Quick Facts

NPI
1730377219
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
1
Locations
1

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