NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1396188975
FITZGERALD
LESLIE
M
325 N STATE OF FRANKLIN RD
JOHNSON CITY
TN
376046056
1215542931
FRASURE
CARSON
J.P.
1275 DICK LONAS RD UNIT 101
KNOXVILLE
TN
379091383
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