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1255958138
GINA MARIE FASANO
MURFREESBORO, TN
NPI
1255958138
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Former Name
GINA MARIE COLLESANO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TN 4058)
Enumeration Date
2020-06-26
Last Update Date
2024-09-03
Business Address
GINA MARIE FASANO PA-C
1800 MEDICAL CENTER PKWY
MURFREESBORO, TN 37129-2567
Phone number: 615-656-7411
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Mailing Address
GINA MARIE FASANO PA-C
7649 DELANCEY DR
COLLEGE GROVE, TN 37046-2035
Phone number: 708-209-7275
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