NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1851697817
CITIZENS OF LAKE COUNTY FOR HEALTH CARE INC
130 NORTH MAIN STREET
RIDGELY
TN
380801317
1689667305
HURST
NETTIE
SUE
130 N MAIN ST
RIDGELY
TN
380801317
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