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1871180117
JACK CLAUDIOUS JUSTICE
JOHNSON CITY, TN
NPI
1871180117
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TN 4367)
Enumeration Date
2020-12-21
Last Update Date
2020-12-23
Business Address
Mr. JACK CLAUDIOUS JUSTICE PA-C
2244 BOONES CREEK RD
JOHNSON CITY, TN 37615-4432
Phone number: 423-782-0243
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Mailing Address
Mr. JACK CLAUDIOUS JUSTICE PA-C
2244 BOONES CREEK RD
JOHNSON CITY, TN 37615-4432
Phone number: 423-782-0243
Copy
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