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1073061420
CARRIE MCIVOR
MEMPHIS, TN
NPI
1073061420
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: TN 21435)
Enumeration Date
2016-09-14
Last Update Date
2016-09-14
Business Address
-- CARRIE MCIVOR
262 DANNY THOMAS PL
MEMPHIS, TN 38105-3678
Phone number: 901-595-3300
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Mailing Address
-- CARRIE MCIVOR
262 DANNY THOMAS PL
MEMPHIS, TN 38105-3678
Phone number:
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