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1659108769
JACOB WHEAT
OOLTEWAH, TN
NPI
1659108769
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: TN 238316)
Enumeration Date
2024-09-14
Last Update Date
2024-09-14
Business Address
JACOB WHEAT
5716 RILEY RD
OOLTEWAH, TN 37363-6882
Phone number: 731-501-6378
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Mailing Address
JACOB WHEAT
5716 RILEY RD
OOLTEWAH, TN 37363-6882
Phone number:
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