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1194205823
KIMALA MOSEBY-FOWLER
GERMANTOWN, TN
NPI
1194205823
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: TN 24640)
Enumeration Date
2018-08-21
Last Update Date
2019-08-27
Business Address
KIMALA MOSEBY-FOWLER AG-ACNP
7691 POPLAR AVE
GERMANTOWN, TN 38138
Phone number: 901-516-1290
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Mailing Address
KIMALA MOSEBY-FOWLER AG-ACNP
PO BOX 1000, DEPT 351
MEMPHIS, TN 38148-0001
Phone number: 901-758-9900
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