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1003117656
LISA D BEASLEY
GERMANTOWN, TN
NPI
1003117656
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN APN0000015088)
Enumeration Date
2010-11-13
Last Update Date
2010-11-13
Business Address
-- LISA D BEASLEY FNP
8040 WOLF RIVER BLVD SUITE 200
GERMANTOWN, TN 38138-1773
Phone number: 901-414-0017
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Mailing Address
-- LISA D BEASLEY FNP
8040 WOLF RIVER BLVD SUITE 200
GERMANTOWN, TN 38138-1773
Phone number: 901-414-0017
Copy
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