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1629629761
MACKENZIE GIBBONS
SOMERVILLE, TN
NPI
1629629761
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 26479)
Enumeration Date
2019-09-20
Last Update Date
2020-11-18
Business Address
Mrs. MACKENZIE GIBBONS FNP
16532 US HIGHWAY 64
SOMERVILLE, TN 38068-6185
Phone number: 901-813-8138
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Mailing Address
Mrs. MACKENZIE GIBBONS FNP
16532 US HIGHWAY 64
SOMERVILLE, TN 38068-6185
Phone number:
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