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1639461411
JONATHAN JOSEPH VITALE
BRENTWOOD, TN
NPI
1639461411
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NY 272100)
Enumeration Date
2011-05-11
Last Update Date
2020-10-10
Business Address
Dr. JONATHAN JOSEPH VITALE D.O.
109 WESTPARK DR STE 180
BRENTWOOD, TN 37027-5063
Phone number: 615-610-6754
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Mailing Address
Dr. JONATHAN JOSEPH VITALE D.O.
109 WESTPARK DR STE 180
BRENTWOOD, TN 37027-5063
Phone number: 615-610-6754
Copy
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