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1023364254
MARY BETH HALL-KRASNOVE
MEMPHIS, TN
NPI
1023364254
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN APN16844)
Enumeration Date
2012-07-25
Last Update Date
2019-02-07
Business Address
MARY BETH HALL-KRASNOVE FNP
877 JEFFERSON AVE
MEMPHIS, TN 38103-2807
Phone number: 901-545-8090
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Mailing Address
MARY BETH HALL-KRASNOVE FNP
877 JEFFERSON AVE ATTN: PROVIDER ENROLLMENT
MEMPHIS, TN 38103-2807
Phone number: 901-448-2525
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