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1265438980
JACK R SHEARER
MEMPHIS, TN
NPI
1265438980
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TN 144583)
Enumeration Date
2005-06-27
Last Update Date
2012-10-02
Business Address
MR. JACK R SHEARER CRNA
262 DANNY THOMAS PL
MEMPHIS, TN 38105-3678
Phone number: 901-595-3006
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Mailing Address
MR. JACK R SHEARER CRNA
262 DANNY THOMAS PL MS 515
MEMPHIS, TN 38105-3678
Phone number: 901-595-3006
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