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1205947942
RAELEEN MARIE ROBERTS
MEMPHIS, TN
NPI
1205947942
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: TN 8379)
Enumeration Date
2006-08-31
Last Update Date
2007-07-08
Business Address
Mrs. RAELEEN MARIE ROBERTS NP
1030 JEFFERSON AVE
MEMPHIS, TN 38104-2127
Phone number: 901-523-8990
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Mailing Address
Mrs. RAELEEN MARIE ROBERTS NP
9339 WHEATLAND DR
GERMANTOWN, TN 38139-3567
Phone number: 901-755-5138
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