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1083732762
EVELYN LAKE-HARRIS
JACKSON, TN
NPI
1083732762
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Former Name
EVELYN LAKE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TN APN6691)
Enumeration Date
2007-03-27
Last Update Date
2018-01-15
Business Address
EVELYN LAKE-HARRIS APN
238 SUMMAR DR
JACKSON, TN 38301-3906
Phone number: 731-541-8200
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Mailing Address
EVELYN LAKE-HARRIS APN
PO BOX 10414 C O PARADIGM HEALTH
LARGO, FL 33773-0414
Phone number:
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