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1124614284
JAIME SISAM
MEMPHIS, TN
NPI
1124614284
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: TN 28380)
Enumeration Date
2020-12-14
Last Update Date
2020-12-14
Business Address
JAIME SISAM CPNP-AC
262 DANNY THOMAS PL
MEMPHIS, TN 38105-3678
Phone number: 530-305-0709
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Mailing Address
JAIME SISAM CPNP-AC
262 DANNY THOMAS PL
MEMPHIS, TN 38105-3678
Phone number:
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