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BEATRICE FATIMA BACHOUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
480 GREEN CHAPEL RD, HENNING, TN 38041-5726
(731) 738-5044
Mailing address
480 GREEN CHAPEL RD, HENNING, TN 38041-5726
(731) 738-5044

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
3002
TN
363AM0700X
Medical Physician Assistant
5601007739
MI

Other

Enumeration date
05/10/2016
Last updated
07/27/2016
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