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Organization · Point of Service · Memphis, TN

NPI
1093949539
Type
Organization (Type 2)
Primary specialty
Point of Service
Specialty group
Managed Care Organizations
Taxonomy code
305S00000X
License number
00106545 (TN)
Enumerated
2009-05-12
Last updated
2009-05-12
Practice location
887 Thomas St
Memphis, TN 38107-2543
(901) 281-5759

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