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Individual

DEIDRA HARRISON-MCCLAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3050 BUSINESS PARK CIR STE 100, GOODLETTSVILLE, TN 37072-3659
(615) 859-0188
Mailing address
11726 CHAPEL GLEN LN, KNOXVILLE, TN 37934-1769
(615) 417-5265

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10043
TN

Other

Enumeration date
07/02/2014
Last updated
11/21/2018
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