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1144908260
MARISA EBERSOLE
CLARKSVILLE, TN
NPI
1144908260
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 34201)
Enumeration Date
2023-07-10
Last Update Date
2023-07-10
Business Address
MARISA EBERSOLE
1193 FORT CAMPBELL BLVD
CLARKSVILLE, TN 37042-8880
Phone number: 931-648-4838
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Mailing Address
MARISA EBERSOLE
1193 FORT CAMPBELL BLVD
CLARKSVILLE, TN 37042-8880
Phone number:
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