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1710120761
JASON D PICKUP
KINGSPORT, TN
NPI
1710120761
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: TN 9613)
Enumeration Date
2009-04-07
Last Update Date
2013-08-13
Business Address
-- JASON D PICKUP DMD
117 W SEVIER AVE SUITE 220
KINGSPORT, TN 37660-3799
Phone number: 423-224-3200
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Mailing Address
-- JASON D PICKUP DMD
117 W SEVIER AVE SUITE 220
KINGSPORT, TN 37660-3799
Phone number: 423-224-3200
Copy
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