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1497754790
BETTY J MIRRO
GERMANTOWN, TN
NPI
1497754790
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Former Name
BETTY J VAN HOOSER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: TN 17702)
Enumeration Date
2005-07-19
Last Update Date
2017-03-08
Business Address
BETTY J MIRRO M.D.
3085 FOUNTAINSIDE DR SUITE 202
GERMANTOWN, TN 38138-7842
Phone number: 901-755-0550
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Mailing Address
BETTY J MIRRO M.D.
3085 FOUNTAINSIDE DR SUITE 202
GERMANTOWN, TN 38138-7842
Phone number: 901-755-0550
Copy
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