Individual
DEBORAH GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
725 E POPLAR AVE, SELMER, TN 38375-1800
(731) 645-3474
Mailing address
355 GRAHAM ST, SELMER, TN 38375-1331
(731) 434-8732
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
24592
TN
Other
Enumeration date
01/30/2014
Last updated
01/30/2014
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