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Individual

MR. ANDREW R RILEY SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4572 COGNAC CV, MEMPHIS, TN 38141-7803
(901) 794-5682
(901) 794-3539
Mailing address
4569 COGNAC CV, MEMPHIS, TN 38141-7803
(901) 314-9607
(901) 794-3539

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
05/16/2012
Last updated
05/16/2012
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