Individual
DONGMO GEORGETTE TEKOBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10710 OLD HIGHWAY 64, BOLIVAR, TN 38008-3587
(731) 203-1011
(731) 658-1597
Mailing address
3220 N AVENEL CV, MEMPHIS, TN 38125-0766
(901) 283-8280
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APN0000030296
TN
Other
Enumeration date
11/03/2021
Last updated
10/24/2023
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