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1760767016
MODEANNA LEIGH WADE
COVINGTON, TN
NPI
1760767016
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN APN0000016204)
Enumeration Date
2011-10-19
Last Update Date
2023-05-10
Business Address
MODEANNA LEIGH WADE APRN
899 HIGHWAY 51 S
COVINGTON, TN 38019-2568
Phone number: 901-244-4646
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Mailing Address
MODEANNA LEIGH WADE APRN
115 S MUNFORD ST
COVINGTON, TN 38019-2527
Phone number: 901-244-4646
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