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1114993904
TERRY G DAVIS
FORT CAMPBELL, KY
NPI
1114993904
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: TX PA00485)
Enumeration Date
2006-02-23
Last Update Date
2007-07-08
Business Address
Mr. TERRY G DAVIS PA
BLANCHFIELD ARMY COMMUNITY HOSPITAL 650 JOEL DR.
FORT CAMPBELL, KY 42223
Phone number: 270-798-8372
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Mailing Address
Mr. TERRY G DAVIS PA
BLANCHFIELD ARMY COMMUNITY HOSPITAL 650 JOEL DR.
FORT CAMPBELL, KY 42223
Phone number: 270-798-8372
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