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1588180806
TINA LASHAE LUM
JACKSON, TN
NPI
1588180806
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TN APN0000022045)
Enumeration Date
2017-08-17
Last Update Date
2023-04-05
Business Address
TINA LASHAE LUM NP
616 W FOREST AVE
JACKSON, TN 38301-3902
Phone number: 731-574-3000
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Mailing Address
TINA LASHAE LUM NP
587 SKYLINE DR
JACKSON, TN 38301-3938
Phone number:
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