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1043666597
PEGGY LACHELLE MOSS
JACKSON, TN
NPI
1043666597
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: TN 21226)
Enumeration Date
2016-05-13
Last Update Date
2016-05-13
Business Address
PEGGY LACHELLE MOSS FNP
96 PHYSICIANS DR
JACKSON, TN 38305-2070
Phone number: 731-664-8771
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Mailing Address
PEGGY LACHELLE MOSS FNP
35 MAJESTIC OAK CV
HUMBOLDT, TN 38343-8639
Phone number: 731-267-2439
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