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Individual

BAMBI LAFONT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
176C W UNIVERSITY PKWY # C, JACKSON, TN 38305-1616
(731) 660-6915
(731) 668-4557
Mailing address
400 US HIGHWAY 45 W, HUMBOLDT, TN 38343-8503
(731) 784-7773
(731) 784-0001

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN0000021896
TN

Other

Enumeration date
10/14/2016
Last updated
12/07/2016
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