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1245894724
GYU CHANG JO
MC KENZIE, TN
NPI
1245894724
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: TN 25572)
Enumeration Date
2019-04-30
Last Update Date
2022-03-21
Business Address
GYU CHANG JO FNP-BC
205 HOSPITAL DR STE A
MC KENZIE, TN 38201
Phone number: 731-352-7907
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Mailing Address
GYU CHANG JO FNP-BC
3841 GREEN HILLS VILLAGE DR STE 200
NASHVILLE, TN 37215-2691
Phone number:
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