JANIS D EBOLUM

SHELBYVILLE, TN
NPI1710985072
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TN  APN0000005513)
Enumeration Date2005-07-11
Last Update Date2012-07-14
Business Address
-- JANIS D EBOLUM APRN-BC
140 DOVER ST
SHELBYVILLE, TN 37160-2776
Phone number: 931-684-3426
Mailing Address
-- JANIS D EBOLUM APRN-BC
140 DOVER ST
SHELBYVILLE, TN 37160-2776
Phone number: 931-684-3426
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