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1265774236
GRANT KNEELAND STUDEBAKER
JACKSON, TN
NPI
1265774236
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TN 54849)
Enumeration Date
2013-03-18
Last Update Date
2016-08-24
Business Address
DR. GRANT KNEELAND STUDEBAKER MD
294 SUMMAR DR
JACKSON, TN 38301-3915
Phone number: 731-423-1932
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Mailing Address
DR. GRANT KNEELAND STUDEBAKER MD
294 SUMMAR DR
JACKSON, TN 38301-3915
Phone number: 731-423-1932
Copy
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