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1013112077
TAMMY JAVELLANA
DYERSBURG, TN
NPI
1013112077
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN APN10445)
Enumeration Date
2007-06-19
Last Update Date
2024-08-14
Business Address
TAMMY JAVELLANA F.N.P
1505 WOODLAWN AVE STE A
DYERSBURG, TN 38024-3134
Phone number: 731-478-6064
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Mailing Address
TAMMY JAVELLANA F.N.P
1505 WOODLAWN AVE STE A
DYERSBURG, TN 38024-3134
Phone number: 731-478-6064
Copy
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