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1477078962
JEFFREY E BANHAM
MEMPHIS, TN
NPI
1477078962
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 22959)
Enumeration Date
2017-08-07
Last Update Date
2017-09-20
Business Address
JEFFREY E BANHAM NP
2589 APPLING RD STE 101
MEMPHIS, TN 38133-5099
Phone number: 901-752-2300
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Mailing Address
JEFFREY E BANHAM NP
P O BOX 1000 DEPT 978
MEMPHIS, TN 38148-0001
Phone number: 901-758-9900
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