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1265418966
MARY KAY FADDEN
NASHVILLE, TN
NPI
1265418966
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TN PA0000001679)
Enumeration Date
2005-12-15
Last Update Date
2010-12-16
Business Address
MARY KAY FADDEN PA-C
617 S 8TH ST
NASHVILLE, TN 37206-3819
Phone number: 615-228-8902
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Mailing Address
MARY KAY FADDEN PA-C
601 W DUE WEST AVE
MADISON, TN 37115-4423
Phone number: 615-425-3333
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