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Individual

AUDRA DENISE JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5405 FOX PLAZA DR, MEMPHIS, TN 38115-1518
(901) 491-8060
Mailing address
7208 BAY HOLLOW CV, MEMPHIS, TN 38125-2601
(901) 347-9203

Taxonomy

Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
937308
TN

Other

Enumeration date
09/19/2024
Last updated
09/19/2024
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