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1902127509
BERNADINE VERNETTA LAKE
MEMPHIS, TN
NPI
1902127509
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2010-06-17
Last Update Date
2010-06-17
Business Address
-- BERNADINE VERNETTA LAKE M.D.
UNIVERSITY OF TENNESSE 910 MADISON AVENUE SUITE 1031
MEMPHIS, TN 38163-0001
Phone number: 901-448-5364
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Mailing Address
-- BERNADINE VERNETTA LAKE M.D.
26160 W 12 MILE RD APT C-33
SOUTHFIELD, MI 48034-1764
Phone number: 313-623-7688
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