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1205671039
MADISON KANE BEARS
LEBANON, TN
NPI
1205671039
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: TN 36695)
Enumeration Date
2024-06-25
Last Update Date
2024-07-24
Business Address
MADISON KANE BEARS PNP
1029 W MAIN ST
LEBANON, TN 37087-3351
Phone number: 615-450-1659
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Mailing Address
MADISON KANE BEARS PNP
1408 GREEN FOREST CT
MOUNT JULIET, TN 37122-6027
Phone number: 615-374-1962
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