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1639299027
JERRY P. ELEDGE
LA VERGNE, TN
NPI
1639299027
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: TN 8052)
Enumeration Date
2007-03-30
Last Update Date
2007-07-08
Business Address
JERRY P. ELEDGE DPH
5150 MURFREESBORO RD # A
LA VERGNE, TN 37086-2712
Phone number: 615-213-1203
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Mailing Address
JERRY P. ELEDGE DPH
PO BOX 92
BRENTWOOD, TN 37024-0092
Phone number: 615-213-1203
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