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1922169572
JONATHAN STEPHEN WHITE
TULLAHOMA, TN
NPI
1922169572
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TN PA713)
Enumeration Date
2006-12-13
Last Update Date
2015-08-13
Business Address
-- JONATHAN STEPHEN WHITE PA-C
144 JACK FARRAR LN
TULLAHOMA, TN 37388-2398
Phone number: 931-455-0120
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Mailing Address
-- JONATHAN STEPHEN WHITE PA-C
PO BOX 681789
FRANKLIN, TN 37068-1789
Phone number: 931-455-0120
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