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1316775323
HIDDEN PATHS, LLC
GERMANTOWN, TN
NPI
1316775323
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Entity Type
Organization
Authorized Contact
JEFFREY BANHAM
Owner
901-216-4354
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2024-07-22
Last Update Date
2024-07-22
Business Address
HIDDEN PATHS, LLC
7516 ENTERPRISE AVE # 1
GERMANTOWN, TN 38138-3802
Phone number: 901-757-2249
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Mailing Address
HIDDEN PATHS, LLC
PO BOX 269
ELLENDALE, TN 38029-0269
Phone number: 901-216-4354
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