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1366069551
PERSEPHONE A BURNETT
GERMANTOWN, TN
NPI
1366069551
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: TN 27468)
Enumeration Date
2020-07-03
Last Update Date
2020-07-03
Business Address
PERSEPHONE A BURNETT
7655 POPLAR AVE STE 350
GERMANTOWN, TN 38138-4933
Phone number: 901-761-2470
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Mailing Address
PERSEPHONE A BURNETT
P O BOX 1000 DEPT 960
MEMPHIS, TN 38148-0001
Phone number: 901-761-2470
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