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1255837001
PAMELA DENISE FUQUA
CORDOVA, TN
NPI
1255837001
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: TN 23935)
Enumeration Date
2018-04-02
Last Update Date
2018-04-02
Business Address
PAMELA DENISE FUQUA APN
1227 SANBYRN DR
CORDOVA, TN 38018-6590
Phone number: 901-737-8068
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Mailing Address
PAMELA DENISE FUQUA APN
1227 SANBYRN DR
CORDOVA, TN 38018-6590
Phone number: 901-737-8068
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