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1508330150
ANDRES MARCO FRAGA
CHATTANOOGA, TN
NPI
1508330150
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TN APN0000025231)
Enumeration Date
2019-01-16
Last Update Date
2019-01-16
Business Address
ANDRES MARCO FRAGA MSN, PMHNP
7345 COURAGE WAY
CHATTANOOGA, TN 37421-1555
Phone number: 423-602-9797
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Mailing Address
ANDRES MARCO FRAGA MSN, PMHNP
166 TIMBERLAND TRL
RINGGOLD, GA 30736-4554
Phone number: 954-909-3932
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