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1942301072
JERRY A. CRUMP
COOKEVILLE, TN
NPI
1942301072
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: TN 104144)
Enumeration Date
2006-09-25
Last Update Date
2007-07-08
Business Address
Mr. JERRY A. CRUMP C.R.N.F.A.
2749 PARK WEST DR
COOKEVILLE, TN 38501-5606
Phone number: 931-432-0540
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Mailing Address
Mr. JERRY A. CRUMP C.R.N.F.A.
PO BOX 3661
COOKEVILLE, TN 38502-3661
Phone number: 931-432-0540
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