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Individual

KATHERINE DONOVAN DEAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
C-PNP

Contact information

Practice address
3025 KATE BOND RD, BARTLETT, TN 38133-4004
(901) 384-0065
Mailing address
705 TOWN BLVD NE APT 472, BROOKHAVEN, GA 30319-3081
(901) 463-0784

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
31467
TN

Other

Enumeration date
03/18/2022
Last updated
03/18/2022
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