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1710356662
PRESTON DEATHERIDGE
NASHVILLE, TN
NPI
1710356662
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 20454)
Enumeration Date
2015-09-22
Last Update Date
2015-09-22
Business Address
-- PRESTON DEATHERIDGE NP-C
2300 PATTERSON ST
NASHVILLE, TN 37203-1538
Phone number: 615-342-1000
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Mailing Address
-- PRESTON DEATHERIDGE NP-C
2300 PATTERSON ST
NASHVILLE, TN 37203-1538
Phone number:
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