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DALLAS PROVENCE, NP
NP
Dermatopathology Physician
NPI: 1619556230IndividualAccepts Medicare
Specialties, Licenses & Credentials
Dermatopathology PhysicianPrimary
Dermatology — Dermatopathology
Code: 207ND0900X
28973(TN)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 2020
Contact & Hours
- Address
- 6254 POPLAR AVE
MEMPHIS, TN 38119 - Phone
- (901) 624-3333
Quick Facts
- NPI
- 1619556230
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 6
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