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Individual

CATHERINE A CONQUEST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
1400 S GERMANTOWN RD, GERMANTOWN, TN 38138-2205
(901) 759-3100
(901) 759-3196
Mailing address
1400 S GERMANTOWN RD, GERMANTOWN, TN 38138-2205
(901) 759-3100
(901) 759-3196

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110002347
VA
363A00000X
Physician Assistant
Primary
PA0000001595
TN

Other

Enumeration date
10/17/2006
Last updated
04/06/2011
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