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1639440274
JANIS A FUQUA
ANTIOCH, TN
NPI
1639440274
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN APN0000016044)
Enumeration Date
2012-01-12
Last Update Date
2012-01-12
Business Address
-- JANIS A FUQUA FNP-C
5801 CROSSINGS BLVD
ANTIOCH, TN 37013-3130
Phone number: 615-941-8501
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Mailing Address
-- JANIS A FUQUA FNP-C
5801 CROSSINGS BLVD
ANTIOCH, TN 37013-3130
Phone number: 615-941-8501
Copy
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