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1194487306
JONATHAN SCOTT WADE
FORT CAMPBELL, KY
NPI
1194487306
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2021-10-06
Last Update Date
2024-05-07
Business Address
JONATHAN SCOTT WADE PA-C
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 270-681-2811
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Mailing Address
JONATHAN SCOTT WADE PA-C
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number:
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