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Individual

MRS. KAYLA LANEE DEDMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
204 OAK ST, LEBANON, TN 37087-3334
(615) 840-1457
Mailing address
1259 INVERNESS PASS, LEBANON, TN 37087
(615) 840-1457

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
31150
TN

Other

Enumeration date
03/04/2022
Last updated
04/17/2023
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