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1720777303
DETRICE FLAKE
MEMPHIS, TN
NPI
1720777303
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TN 33892)
Enumeration Date
2023-05-01
Last Update Date
2023-05-01
Business Address
DETRICE FLAKE PMHNP
125 GAYOSO AVE APT 504
MEMPHIS, TN 38103-2918
Phone number: 731-217-6636
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Mailing Address
DETRICE FLAKE PMHNP
125 GAYOSO AVE APT 504
MEMPHIS, TN 38103-2918
Phone number: 731-217-6636
Copy
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