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Individual

MS. TEARESSIE DONSHI ARCHIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4064 ROYALCREST DR, MEMPHIS, TN 38115-6438
(901) 421-0032
Mailing address
4064 ROYALCREST DR, MEMPHIS, TN 38115-6438
(901) 421-0032

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
170006544
TN

Other

Enumeration date
12/06/2017
Last updated
12/06/2017
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