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1417073826
JERRY BAXTER SHACKELFORD
MADISON, TN
NPI
1417073826
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: TN 00179)
Enumeration Date
2007-03-21
Last Update Date
2007-07-08
Business Address
Dr. JERRY BAXTER SHACKELFORD D. C.
521 E CAMPBELL RD
MADISON, TN 37115-2501
Phone number: 615-944-2305
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Mailing Address
Dr. JERRY BAXTER SHACKELFORD D. C.
521 E CAMPBELL RD
MADISON, TN 37115-2501
Phone number: 615-944-2305
Copy
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