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1063750859
SIMON IGHO IDIARE
NASHVILLE, TN
NPI
1063750859
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: TN 0000011542)
Enumeration Date
2013-01-29
Last Update Date
2024-03-01
Business Address
Dr. SIMON IGHO IDIARE
1310 24TH AVE S
NASHVILLE, TN 37212-2637
Phone number: 615-873-7473
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Mailing Address
Dr. SIMON IGHO IDIARE
821 LORETTA DRIVE
GOODLETTSVILLE, TN 37072
Phone number: 615-859-5656
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