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1861164121
JASON PIYAVUNNO
MEMPHIS, TN
NPI
1861164121
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TN 29842)
Enumeration Date
2021-10-04
Last Update Date
2022-03-29
Business Address
JASON PIYAVUNNO FNP-C
3960 NEW COVINGTON PIKE
MEMPHIS, TN 38128-2589
Phone number: 901-516-5200
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Mailing Address
JASON PIYAVUNNO FNP-C
3960 NEW COVINGTON PIKE
MEMPHIS, TN 38128-2504
Phone number:
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