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1588407639
JUSTIN RIDDLE
MEMPHIS, TN
NPI
1588407639
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TN 36483)
Enumeration Date
2024-06-17
Last Update Date
2024-06-17
Business Address
JUSTIN RIDDLE NP
877 JEFFERSON AVE
MEMPHIS, TN 38103-2807
Phone number: 901-545-7100
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Mailing Address
JUSTIN RIDDLE NP
877 JEFFERSON AVE
MEMPHIS, TN 38103-2807
Phone number: 901-545-6286
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