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Vivian Ebeo, RPH
NPI 1255936555 · on the registry since 2020
Practice
- Address
- 2120 S Roan St Ste 100
Johnson City, TN 37601 - Phone
- (423) 979-0373
- Organisation at this address
- K -Va -T Food Stores Inc
Fellowship Physical Therapy LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Pharmacist
183500000X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-12-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee