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1255379418
DEBORAH DIANE LASTER
JACKSON, TN
NPI
1255379418
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TN 50133)
Enumeration Date
2006-06-02
Last Update Date
2009-07-29
Business Address
-- DEBORAH DIANE LASTER N.P.
708 W FOREST AVE
JACKSON, TN 38301-3901
Phone number: 731-660-8755
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Mailing Address
-- DEBORAH DIANE LASTER N.P.
1804 HIGHWAY 45 BYP SUITE 604
JACKSON, TN 38305-4436
Phone number: 731-660-8755
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