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1760711469
JIMMY RUSSELL MAUNEY
CLARKSVILLE, TN
NPI
1760711469
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TN 2008)
Enumeration Date
2009-12-09
Last Update Date
2023-10-13
Business Address
JIMMY RUSSELL MAUNEY PA-C
141 HILLCREST DR
CLARKSVILLE, TN 37043-5088
Phone number: 931-552-4340
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Mailing Address
JIMMY RUSSELL MAUNEY PA-C
PO BOX 306556
NASHVILLE, TN 37230-6556
Phone number: 615-329-2294
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