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1598488249
AUDREA LACEY LANDERS TAYLOR
TULLAHOMA, TN
NPI
1598488249
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TN 30492)
Enumeration Date
2022-09-19
Last Update Date
2022-09-19
Business Address
AUDREA LACEY LANDERS TAYLOR APRN, FNP-C
401 WILSON AVE
TULLAHOMA, TN 37388-3357
Phone number: 931-580-2787
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Mailing Address
AUDREA LACEY LANDERS TAYLOR APRN, FNP-C
109 HAMPSHIRE RD
SHELBYVILLE, TN 37160-9503
Phone number: 931-580-2787
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