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1720171796
JULIE M COUNTESS
LEBANON, TN
NPI
1720171796
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207ND0101X Dermatology, MOHS-Micrographic Surgery
(Licence: TN 41873)
Enumeration Date
2006-10-02
Last Update Date
2023-12-29
Business Address
JULIE M COUNTESS M.D.
107 GLIDEPATH WAY
LEBANON, TN 37090-4133
Phone number: 615-449-5771
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Mailing Address
JULIE M COUNTESS M.D.
PO BOX 1172
LEBANON, TN 37088-1172
Phone number: 615-449-5771
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