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1467577304
JERRY ALVIN MIDYETT
MEMPHIS, TN
NPI
1467577304
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TN DS0000001672)
Enumeration Date
2007-03-20
Last Update Date
2007-07-08
Business Address
Dr. JERRY ALVIN MIDYETT D.D.S.
4177 MACON RD
MEMPHIS, TN 38122-2413
Phone number: 901-452-5277
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Mailing Address
Dr. JERRY ALVIN MIDYETT D.D.S.
4177 MACON RD
MEMPHIS, TN 38122-2413
Phone number: 901-452-5277
Copy
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