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Individual

VINTEARIA CAUTHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3430 HALLBROOK ST, MEMPHIS, TN 38127-5626
(901) 258-9702
Mailing address
6949 AMBERLY VILLAGE DR, CORDOVA, TN 38018-5619
(901) 258-9702

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary

Other

Enumeration date
10/13/2014
Last updated
10/14/2014
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