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1265996672
JESSE E VON FANGE
KNOXVILLE, TN
NPI
1265996672
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: TN 3804)
Enumeration Date
2019-01-30
Last Update Date
2020-03-04
Business Address
JESSE E VON FANGE PA-C
280 FORT SANDERS WEST BLVD STE 101
KNOXVILLE, TN 37922-3352
Phone number: 865-539-0270
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Mailing Address
JESSE E VON FANGE PA-C
1275 DICK LONAS RD UNIT 101
KNOXVILLE, TN 37909-1383
Phone number: 865-584-4747
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