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1134588437
JOHN GANNAWAY
JACKSON, TN
NPI
1134588437
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-02-15
Last Update Date
2016-02-15
Business Address
-- JOHN GANNAWAY
238 SUMMAR DR
JACKSON, TN 38301-3906
Phone number: 731-541-8200
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Mailing Address
-- JOHN GANNAWAY
1804 HIGHWAY 45 BYP SUITE 604
JACKSON, TN 38305-4436
Phone number: 731-660-7971
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