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1033240684
JACK CHANDLEY CHAPMAN
FORT BENNING, GA
NPI
1033240684
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2472E0500X Technician, Other, EEG
(Licence: 2472E0500X)
Enumeration Date
2007-03-07
Last Update Date
2007-07-08
Business Address
-- JACK CHANDLEY CHAPMAN PSg.T
7950 MARTIN LOOP
FORT BENNING, GA 31905-5647
Phone number: 888-884-9493
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Mailing Address
-- JACK CHANDLEY CHAPMAN PSg.T
725 ANDREA DR
COLUMBUS, GA 31907-5214
Phone number: 706-366-1479
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