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1457077315
LISA DIANE FAIR
CORDOVA, TN
NPI
1457077315
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TN 32712)
Enumeration Date
2022-10-12
Last Update Date
2022-10-12
Business Address
Mrs. LISA DIANE FAIR PMHNP-BC
8130 COUNTRY VILLAGE DR
CORDOVA, TN 38016-2087
Phone number: 901-566-1002
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Mailing Address
Mrs. LISA DIANE FAIR PMHNP-BC
3092 CHAMBERS CHAPEL RD.
ARLINGTON, TN 38002
Phone number: 901-870-7681
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