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1821753906
DONGMO GEORGETTE TEKOBO
BOLIVAR, TN
NPI
1821753906
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: TN APN0000030296)
Enumeration Date
2021-11-03
Last Update Date
2023-10-24
Business Address
DONGMO GEORGETTE TEKOBO
10710 OLD HIGHWAY 64
BOLIVAR, TN 38008-3587
Phone number: 731-203-1011
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Mailing Address
DONGMO GEORGETTE TEKOBO
3220 N AVENEL CV
MEMPHIS, TN 38125-0766
Phone number: 901-283-8280
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