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1023048303
MARK WADE CREASEY
MEMPHIS, TN
NPI
1023048303
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 34775)
Enumeration Date
2006-07-03
Last Update Date
2024-05-30
Business Address
MARK WADE CREASEY FNP-C
6515 POPLAR AVE STE 106
MEMPHIS, TN 38119-4878
Phone number: 615-406-4542
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Mailing Address
MARK WADE CREASEY FNP-C
206 OXFORD RD
NEW ALBANY, MS 38652-3115
Phone number: 662-534-2298
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