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Individual

BRANDON PATE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
1509 E REELFOOT AVE, UNION CITY, TN 38261-5845
(731) 886-8662
Mailing address
708 E COURT ST, DYERSBURG, TN 38024-4829
(731) 285-8247

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
19626
TN

Other

Enumeration date
01/28/2015
Last updated
01/28/2015
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