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1194366161
ASHLY MARIE MEDEIROS
BRENTWOOD, TN
NPI
1194366161
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP143139)
Enumeration Date
2019-10-01
Last Update Date
2022-04-12
Business Address
Mrs. ASHLY MARIE MEDEIROS APRN
210 WESTWOOD PL STE 110
BRENTWOOD, TN 37027-7554
Phone number: 615-206-2462
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Mailing Address
Mrs. ASHLY MARIE MEDEIROS APRN
66 KNIGHT LN STE 10
WILLISTON, VT 05495-9308
Phone number: 802-872-4343
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