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1528702677
MALLORY KATE LEDBETTER
COOKEVILLE, TN
NPI
1528702677
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Former Name
MALLLRY KATE JOHNSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 31347)
Enumeration Date
2022-04-25
Last Update Date
2022-04-25
Business Address
MALLORY KATE LEDBETTER APRN
1101 NEAL ST
COOKEVILLE, TN 38501-0901
Phone number: 931-507-1212
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Mailing Address
MALLORY KATE LEDBETTER APRN
1260 VILLA DR
LIVINGSTON, TN 38570-2905
Phone number: 931-644-6182
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