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1801042536
FANNY MAK
CHATTANOOGA, TN
NPI
1801042536
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: TN 12104)
Enumeration Date
2008-08-13
Last Update Date
2008-08-13
Business Address
MS. FANNY MAK FNP-BC
1101 MARKET ST BR-3D
CHATTANOOGA, TN 37402-2881
Phone number: 423-751-8562
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Mailing Address
MS. FANNY MAK FNP-BC
PO BOX 5156
CHATTANOOGA, TN 37406-0156
Phone number: 601-209-0724
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