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1255323267
WILLIAM SENTER JACKSON
JOHNSON CITY, TN
NPI
1255323267
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TN RN0000053701)
Enumeration Date
2005-08-16
Last Update Date
2009-11-02
Business Address
-- WILLIAM SENTER JACKSON CRNA
1114 SUNSET DR SUITE 4
JOHNSON CITY, TN 37604-2969
Phone number: 423-283-0776
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Mailing Address
-- WILLIAM SENTER JACKSON CRNA
PO BOX 3727
JOHNSON CITY, TN 37602-3727
Phone number: 423-283-0776
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