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Individual

CHRIS FANNIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
6658 WINDFLOWER LN, MEMPHIS, TN 38134-6029
(901) 568-9347
Mailing address
6658 WINDFLOWER LN, MEMPHIS, TN 38134-6029
(901) 568-9347

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
099640278
TN

Other

Enumeration date
01/07/2025
Last updated
01/07/2025
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