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1184698698
JOANI L JACK
CHATTANOOGA, TN
NPI
1184698698
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: TN 24883)
Enumeration Date
2006-02-14
Last Update Date
2008-11-18
Business Address
-- JOANI L JACK MD
910 BLACKFORD ST
CHATTANOOGA, TN 37403-1405
Phone number: 423-778-6012
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Mailing Address
-- JOANI L JACK MD
910 BLACKFORD ST
CHATTANOOGA, TN 37403-1405
Phone number: 423-778-6012
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