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Individual
MARY L CHRISTIAN
Active
Individual
MARY L CHRISTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
12269
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3343799
—
TN
01
—
TN0140
JOHN DEERE HEALTHCARE
TN
Enumeration date
09/26/2006
Last updated
10/09/2007
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