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1760758445
TAMIKA J BOLDEN
MEMPHIS, TN
NPI
1760758445
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 16501)
Enumeration Date
2012-03-28
Last Update Date
2016-06-27
Business Address
-- TAMIKA J BOLDEN APN
718 HARBOR BEND RD
MEMPHIS, TN 38103-0888
Phone number: 901-515-4200
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Mailing Address
-- TAMIKA J BOLDEN APN
877 JEFFERSON AVE ATTN: PROVIDER ENROLLMENT
MEMPHIS, TN 38103-2807
Phone number:
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