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1033956057
ULTRA HEALTH PROVIDERS II LLC
JACKSON, TN
NPI
1033956057
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Entity Type
Organization
Authorized Contact
CHARLES RICHARD JERMAN
Member
731-234-8120
Organization Subpart ?
No
Primary Taxonomy
207RG0300X Internal Medicine, Geriatric Medicine
Enumeration Date
2024-07-09
Last Update Date
2024-07-09
Business Address
ULTRA HEALTH PROVIDERS II LLC
36 PEMBERTON CV
JACKSON, TN 38305-5514
Phone number: 731-394-1145
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Mailing Address
ULTRA HEALTH PROVIDERS II LLC
36 PEMBERTON CV
JACKSON, TN 38305-5514
Phone number: 731-394-1145
Copy
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