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Individual

MRS. KERI MAIZAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
305 DOVER RD, CLARKSVILLE, TN 37042-4157
(931) 552-6722
(931) 552-6979
Mailing address
305 DOVER RD, CLARKSVILLE, TN 37042-4157
(931) 552-6722
(931) 552-6979

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
19935
TN

Other

Enumeration date
04/20/2015
Last updated
07/09/2015
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