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1417331059
JOHN WESLEY SMIDDY
JACKSBORO, TN
NPI
1417331059
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TN 20145)
Enumeration Date
2015-07-14
Last Update Date
2015-07-14
Business Address
JOHN WESLEY SMIDDY NP
2702 JACKSBORO PIKE
JACKSBORO, TN 37757-4850
Phone number: 423-201-9937
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Mailing Address
JOHN WESLEY SMIDDY NP
2702 JACKSBORO PIKE
JACKSBORO, TN 37757-4850
Phone number: 423-201-9937
Copy
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