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Individual

MIA D EARL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D., MPH, CHES

Contact information

Practice address
5731 NANJACK CIR, MEMPHIS, TN 38115-2058
(901) 240-0980
Mailing address
5731 NANJACK CIR, MEMPHIS, TN 38115-2058
(901) 240-0980

Taxonomy

Speciality
Code
Description
License number
State
173C00000X
Reflexologist
Primary
RCR0000000163
TN

Other

Enumeration date
08/18/2009
Last updated
06/15/2019
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