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1023427002
STEPHANIE R LITTLE
JACKSON, TN
NPI
1023427002
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Former Name
STEPHANIE RAE OWEN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TN 2578)
Enumeration Date
2014-08-04
Last Update Date
2023-10-25
Business Address
MRS. STEPHANIE R LITTLE P.A.
2863 HIGHWY 45 BYP
JACKSON, TN 38305-3618
Phone number: 731-422-0213
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Mailing Address
MRS. STEPHANIE R LITTLE P.A.
PO BOX 400
JACKSON, TN 38302-0400
Phone number: 731-425-5752
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