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1386497865
LEELLON LOUISE MARTIN
MILLINGTON, TN
NPI
1386497865
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LG0600X Nurse Practitioner Gerontology
(Licence: TN 36006)
Enumeration Date
2024-04-08
Last Update Date
2024-04-08
Business Address
MRS. LEELLON LOUISE MARTIN NP
5831 PORT HAVEN RD
MILLINGTON, TN 38053-8413
Phone number: 901-849-4108
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Mailing Address
MRS. LEELLON LOUISE MARTIN NP
5831 PORT HAVEN RD
MILLINGTON, TN 38053-8413
Phone number: 901-849-4108
Copy
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