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1255994166
LESLIE CARROLL
JACKSON, TN
NPI
1255994166
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TN 25734)
Enumeration Date
2019-04-16
Last Update Date
2019-04-16
Business Address
LESLIE CARROLL FNP-C
700 W FOREST AVE STE 200
JACKSON, TN 38301-3940
Phone number: 731-541-9490
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Mailing Address
LESLIE CARROLL FNP-C
183 UNION AVE
JACKSON, TN 38301-6036
Phone number:
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