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1194268771
JACOB HENRICKSEN
JOHNSON CITY, TN
NPI
1194268771
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: TN 2941)
Enumeration Date
2016-11-30
Last Update Date
2016-11-30
Business Address
-- JACOB HENRICKSEN
3043 BOONES CREEK RD STE 107
JOHNSON CITY, TN 37615-4959
Phone number: 423-929-2225
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Mailing Address
-- JACOB HENRICKSEN
3043 BOONES CREEK RD STE 107
JOHNSON CITY, TN 37615-4959
Phone number:
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