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1154199594
AUSTIN MARTIN WESLEY
MADISON, TN
NPI
1154199594
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WC0200X Registered Nurse Critical Care Medicine
(Licence: AL 1-178465)
Enumeration Date
2023-12-14
Last Update Date
2023-12-14
Business Address
AUSTIN MARTIN WESLEY
315 HOSPITAL DR
MADISON, TN 37115-5030
Phone number: 615-732-7662
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Mailing Address
AUSTIN MARTIN WESLEY
315 HOSPITAL DR
MADISON, TN 37115-5030
Phone number: 615-732-7662
Copy
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