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1790086288
IVEYLEE B TRUMP
BRENTWOOD, TN
NPI
1790086288
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TN 1894)
Enumeration Date
2010-11-15
Last Update Date
2019-02-21
Business Address
IVEYLEE B TRUMP PA-C
1622 WESTGATE CIR
BRENTWOOD, TN 37027-8019
Phone number: 629-255-2078
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Mailing Address
IVEYLEE B TRUMP PA-C
222 22ND AVE N
NASHVILLE, TN 37203-1852
Phone number: 629-255-3486
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