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1265962120
TABITHA R WOODARD
JACKSON, TN
NPI
1265962120
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TN 22894)
Enumeration Date
2017-06-14
Last Update Date
2017-07-31
Business Address
TABITHA R WOODARD APN
2863 HIGHWAY 45 BYP
JACKSON, TN 38305-3618
Phone number: 731-422-0213
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Mailing Address
TABITHA R WOODARD APN
PO BOX 400
JACKSON, TN 38302-0400
Phone number: 731-425-5752
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