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1518151935
JASON ROBERT KENNEDY
MARYVILLE, TN
NPI
1518151935
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223S0112X Dentist Oral and Maxillofacial Surgery
(Licence: TN N/A (RESIDENT))
Enumeration Date
2007-08-29
Last Update Date
2008-06-04
Business Address
DR. JASON ROBERT KENNEDY D.M.D.
1858 CREST RD
MARYVILLE, TN 37804-4305
Phone number: 865-977-7110
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Mailing Address
DR. JASON ROBERT KENNEDY D.M.D.
301 LAKE FOREST DR
KNOXVILLE, TN 37920-5146
Phone number: 865-577-0361
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