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1124249719
JOHN DAVID VICKERY
JACKSON, TN
NPI
1124249719
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: TN P1021)
Enumeration Date
2007-05-01
Last Update Date
2007-07-08
Business Address
Dr. JOHN DAVID VICKERY Ph.D.
3363 HIGHWAY 45 NORTH
JACKSON, TN 38305
Phone number: 731-664-8444
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Mailing Address
Dr. JOHN DAVID VICKERY Ph.D.
3363 HIGHWAY 45 NORTH
JACKSON, TN 38305
Phone number: 731-664-8444
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