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1134211196
LISA SMITH MAHONEY
MEMPHIS, TN
NPI
1134211196
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: TN 6402)
Enumeration Date
2006-09-28
Last Update Date
2010-03-11
Business Address
LISA SMITH MAHONEY APRN-BC
1030 JEFFERSON AVE. VA MEDICAL CENTER
MEMPHIS, TN 38104
Phone number: 901-523-8990
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Mailing Address
LISA SMITH MAHONEY APRN-BC
9047 RIVERWOOD FARMS PKWY
CORDOVA, TN 38016-1656
Phone number: 901-523-8990
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