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1134819402
JIMMY CONTRERAS
FORT CAMPBELL, KY
NPI
1134819402
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2023-05-10
Last Update Date
2023-05-10
Business Address
JIMMY CONTRERAS
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 270-798-8400
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Mailing Address
JIMMY CONTRERAS
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number:
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