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1164104717
DEMIANA ATTALLAH
CLARKSVILLE, TN
NPI
1164104717
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TN 5495)
Enumeration Date
2023-08-03
Last Update Date
2023-08-03
Business Address
DEMIANA ATTALLAH PA
1193 FORT CAMPBELL BLVD
CLARKSVILLE, TN 37042-8880
Phone number: 931-648-4838
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Mailing Address
DEMIANA ATTALLAH PA
1604 BILL ELLER DR
LA VERGNE, TN 37086-3146
Phone number: 615-710-2834
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