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1528473444
LISA STREET
MEMPHIS, TN
NPI
1528473444
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN APN0000018460)
Enumeration Date
2014-06-30
Last Update Date
2014-06-30
Business Address
-- LISA STREET NP-C
6005 PARK AVE STE 400
MEMPHIS, TN 38119-5214
Phone number: 901-767-7324
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Mailing Address
-- LISA STREET NP-C
703 NEW YORK ST
MEMPHIS, TN 38104-5537
Phone number: 901-237-7599
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