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1851893069
LARISSA MICHELLE RICH
MT JULIET, TN
NPI
1851893069
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TN 3522)
Enumeration Date
2018-03-03
Last Update Date
2018-03-03
Business Address
LARISSA MICHELLE RICH PA
5000 CROSSINGS CIR STE 101
MT JULIET, TN 37122-8591
Phone number: 615-553-5000
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Mailing Address
LARISSA MICHELLE RICH PA
4537 HENSLEY DR
COOKEVILLE, TN 38501-8153
Phone number: 931-397-2593
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