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1093064354
IMMACULATE THOMASON
MARYVILLE, TN
NPI
1093064354
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Other Name
IMMACULATE FERNANDES
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: TN 56819)
Enumeration Date
2012-09-02
Last Update Date
2023-10-02
Business Address
IMMACULATE THOMASON MD
907 E LAMAR ALEXANDER PKWY
MARYVILLE, TN 37804-5015
Phone number: 865-977-5760
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Mailing Address
IMMACULATE THOMASON MD
PO BOX 4156
MARYVILLE, TN 37802-4156
Phone number: 865-271-1752
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