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1134165178
JEFFERY EASTERLY
MARYVILLE, TN
NPI
1134165178
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TN 34802)
Enumeration Date
2006-06-20
Last Update Date
2009-03-24
Business Address
JEFFERY EASTERLY MD
129 MONTGOMERY LN
MARYVILLE, TN 37803-5649
Phone number: 865-681-1224
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Mailing Address
JEFFERY EASTERLY MD
129 MONTGOMERY LN
MARYVILLE, TN 37803-5649
Phone number: 865-681-1224
Copy
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