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1295430072
AUSTIN BLAKE LEE EVANS
MEMPHIS, TN
NPI
1295430072
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-04-03
Last Update Date
2023-04-03
Business Address
AUSTIN BLAKE LEE EVANS DO
920 MADISON AVE STE 447
MEMPHIS, TN 38103-3438
Phone number: 615-396-6454
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Mailing Address
AUSTIN BLAKE LEE EVANS DO
1020 N HIGHLAND AVE STE C
MURFREESBORO, TN 37130-2494
Phone number: 615-396-6454
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