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1083173488
JASON A. MARTIN
TULLAHOMA, TN
NPI
1083173488
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: TN 25475)
Enumeration Date
2019-03-15
Last Update Date
2019-03-15
Business Address
JASON A. MARTIN
600 N JACKSON ST
TULLAHOMA, TN 37388-3542
Phone number: 931-563-5463
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Mailing Address
JASON A. MARTIN
PO BOX 1258
WAYNESBORO, TN 38485-1258
Phone number: 931-253-1110
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