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1710985072
JANIS D EBOLUM
SHELBYVILLE, TN
NPI
1710985072
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN APN0000005513)
Enumeration Date
2005-07-11
Last Update Date
2012-07-14
Business Address
-- JANIS D EBOLUM APRN-BC
140 DOVER ST
SHELBYVILLE, TN 37160-2776
Phone number: 931-684-3426
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Mailing Address
-- JANIS D EBOLUM APRN-BC
140 DOVER ST
SHELBYVILLE, TN 37160-2776
Phone number: 931-684-3426
Copy
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