NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1093990608
EAST TENNESSEE STATE UNIVERSITY
365 STOUT DRIVE BOX 70403
JOHNSON CITY
TN
376141703
1770512642
RICE
JUDITH
A.
365 STOUT DRIVE BOX70403
JOHNSON CITY
TN
376141703
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