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1093132755
BALANCED NATURALLY, LLC
GERMANTOWN, TN
NPI
1093132755
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Entity Type
Organization
Authorized Contact
DAVID M WOOTTON
Clinic Owner
901-756-2424
Organization Subpart ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TN 16459)
Enumeration Date
2014-03-19
Last Update Date
2014-03-19
Business Address
BALANCED NATURALLY, LLC
7730 WOLF RIVER BLVD SUITE 112
GERMANTOWN, TN 38138-1708
Phone number: 901-756-2424
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Mailing Address
BALANCED NATURALLY, LLC
7730 WOLF RIVER BLVD SUITE 112
GERMANTOWN, TN 38138-1708
Phone number: 901-756-2424
Copy
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