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1659684256
LIFE LONG FAMILY PRACTICE, PLLC
LAFAYETTE, TN
NPI
1659684256
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Entity Type
Organization
Authorized Contact
TRAVIS K PARDUE
Owner
615-871-0555
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2010-07-23
Last Update Date
2010-10-28
Business Address
LIFE LONG FAMILY PRACTICE, PLLC
204 HIGHWAY 52 BYP W
LAFAYETTE, TN 37083-1727
Phone number: 615-688-7353
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Mailing Address
LIFE LONG FAMILY PRACTICE, PLLC
3810 CENTRAL PIKE SUITE 201
HERMITAGE, TN 37076-3494
Phone number: 615-871-0555
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