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1912257817
JACOB JUDAH LEDLOW
KNOXVILLE, TN
NPI
1912257817
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: TN 16828)
Enumeration Date
2012-09-18
Last Update Date
2012-09-18
Business Address
-- JACOB JUDAH LEDLOW
10820 PARKSIDE DR
KNOXVILLE, TN 37934-1956
Phone number: 734-646-6321
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Mailing Address
-- JACOB JUDAH LEDLOW
3200 ORANGE BLOSSOM LANE
KNOXVILLE, TN 37931
Phone number: 734-646-6321
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