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1063724755
LEAH ANN DISQUE SUPALLA
NASHVILLE, TN
NPI
1063724755
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: TN 0000014965)
Enumeration Date
2010-07-09
Last Update Date
2022-03-16
Business Address
LEAH ANN DISQUE SUPALLA APN
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232-0001
Phone number: 615-936-2000
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Mailing Address
LEAH ANN DISQUE SUPALLA APN
719 THOMPSON LN STE 30330
NASHVILLE, TN 37204-4701
Phone number:
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