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1518462290
KENAN STEWART PRENTICE
GERMANTOWN, TN
NPI
1518462290
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2018-03-26
Last Update Date
2018-05-01
Business Address
KENAN STEWART PRENTICE PA
1400 S GERMANTOWN RD
GERMANTOWN, TN 38138-2205
Phone number: 901-759-5443
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Mailing Address
KENAN STEWART PRENTICE PA
1400 S GERMANTOWN RD
GERMANTOWN, TN 38138-2205
Phone number: 901-759-5443
Copy
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