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1598092629
JESSIE D MCDONALD
NASHVILLE, TN
NPI
1598092629
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
320800000X Community Based Residential Treatment Facility, Mental Illness
Enumeration Date
2009-11-10
Last Update Date
2009-11-10
Business Address
-- JESSIE D MCDONALD
654 W IRIS DR
NASHVILLE, TN 37204-3191
Phone number: 615-269-5170
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Mailing Address
-- JESSIE D MCDONALD
654 W IRIS DR
NASHVILLE, TN 37204-3191
Phone number: 615-269-5170
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