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1063649408
ELLY K RILEY
JACKSON, TN
NPI
1063649408
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TN DO0000002406)
Enumeration Date
2009-06-12
Last Update Date
2023-10-09
Business Address
ELLY K RILEY DO
294 SUMMAR DR
JACKSON, TN 38301-3915
Phone number: 731-423-1932
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Mailing Address
ELLY K RILEY DO
294 SUMMAR DR
JACKSON, TN 38301-3915
Phone number: 731-423-1932
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