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1396332375
BARRY SIDWELL
JACKSON, TN
NPI
1396332375
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 28237)
Enumeration Date
2020-12-24
Last Update Date
2020-12-24
Business Address
BARRY SIDWELL FNP
620 SKYLINE DR
JACKSON, TN 38301-3923
Phone number: 731-343-2486
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Mailing Address
BARRY SIDWELL FNP
559 LAKEWOOD DR E
JACKSON, TN 38305-6217
Phone number: 731-343-2486
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