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1891342028
JACK HAROLD FIELDS
JACKSON, TN
NPI
1891342028
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TN 124343)
Enumeration Date
2019-08-22
Last Update Date
2019-08-26
Business Address
Dr. JACK HAROLD FIELDS CRNA, DNP
620 SKYLINE DR
JACKSON, TN 38301-3923
Phone number: 731-541-5000
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Mailing Address
Dr. JACK HAROLD FIELDS CRNA, DNP
115 LAURIE CIR
JACKSON, TN 38305-3046
Phone number: 731-414-1413
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