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1902875057
JOHN S WHITE
JACKSON, TN
NPI
1902875057
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TN MD30788)
Enumeration Date
2006-03-14
Last Update Date
2015-05-14
Business Address
-- JOHN S WHITE
294 SUMMAR DR
JACKSON, TN 38301-3915
Phone number: 731-423-1932
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Mailing Address
-- JOHN S WHITE
294 SUMMAR DR
JACKSON, TN 38301-3915
Phone number: 731-423-1932
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