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1114056355
TERRY L WASHINGTON
JACKSON, TN
NPI
1114056355
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2007-03-05
Last Update Date
2007-07-13
Business Address
TERRY L WASHINGTON MD
294 SUMMAR DR
JACKSON, TN 38301-3915
Phone number: 731-423-1932
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Mailing Address
TERRY L WASHINGTON MD
294 SUMMAR DRIVE DEPT 289
JACKSON, TN 38301
Phone number: 731-265-8220
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