TARA YVETTE MABON

MEMPHIS, TN
NPI1619136306
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TN  0000013381)
Enumeration Date2008-06-06
Last Update Date2017-01-03
Business Address
-- TARA YVETTE MABON FNP
2500 PERES AVE
MEMPHIS, TN 38108-1660
Phone number: 901-515-5500
Mailing Address
-- TARA YVETTE MABON FNP
877 JEFFERSON AVE ATTN: PROVIDER ENROLLMENT
MEMPHIS, TN 38103-2807
Phone number:
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