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1134769151
EMILY LYNN WIDELOCK
NASHVILLE, TN
NPI
1134769151
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TN 3960)
Enumeration Date
2020-01-07
Last Update Date
2021-01-28
Business Address
Miss EMILY LYNN WIDELOCK PA-C
3443 DICKERSON PIKE STE 190
NASHVILLE, TN 37207-2533
Phone number: 615-860-1580
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Mailing Address
Miss EMILY LYNN WIDELOCK PA-C
228 HILLSIDE RD
OAK RIDGE, TN 37830-5044
Phone number: 615-519-5213
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