Scott Poulsen

NPI #1467072207 in Paris, Tennessee

Provider Information

NPI Number: 1467072207
Entity Type: Individual
Name: Scott Poulsen
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Apr 22, 2020
Last Updated: Apr 22, 2020

Practice Location

Address: 424 S LAKE ST
City: Paris
State: Tennessee
ZIP Code: 38242-4573
Phone: (817) 995-2294

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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