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1740410703
LACEY MAE BOLDEN
NASHVILLE, TN
NPI
1740410703
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 14287)
Enumeration Date
2009-07-23
Last Update Date
2024-03-21
Business Address
LACEY MAE BOLDEN APN
926 MAIN ST
NASHVILLE, TN 37206-3614
Phone number: 615-679-9087
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Mailing Address
LACEY MAE BOLDEN APN
2204 SALEM WOODS DR
ROCKVALE, TN 37153-4178
Phone number: 931-334-6507
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