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1306229968
JERRY WAYNE MARTIN
BOWLING GREEN, KY
NPI
1306229968
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: KY KY.13674)
Enumeration Date
2015-07-01
Last Update Date
2015-07-01
Business Address
JERRY WAYNE MARTIN M.D.
2162 NASHVILLE ROAD
BOWLING GREEN, KY 42101-3849
Phone number: 270-782-8781
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Mailing Address
JERRY WAYNE MARTIN M.D.
2162 NASHVILLE ROAD
BOWLING GREEN, KY 42101-3849
Phone number: 270-782-8781
Copy
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