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1235273558
KENNETH WADE
JACKSON, TN
NPI
1235273558
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: TN 40431)
Enumeration Date
2007-02-19
Last Update Date
2011-11-04
Business Address
-- KENNETH WADE MD
367 HOSPITAL BLVD
JACKSON, TN 38305-2080
Phone number: 731-661-2227
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Mailing Address
-- KENNETH WADE MD
367 HOSPITAL BLVD
JACKSON, TN 38305-2080
Phone number: 731-661-2227
Copy
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