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1942469606
THE CHILDREN'S CLINIC OF WEST TENNESSEE P.A.
JACKSON, TN
NPI
1942469606
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Entity Type
Organization
Authorized Contact
DAVID LESLIE SELF
Partner
731-423-1500
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
Enumeration Date
2008-06-06
Last Update Date
2008-06-06
Business Address
THE CHILDREN'S CLINIC OF WEST TENNESSEE P.A.
264 COATSLAND DR
JACKSON, TN 38301-3948
Phone number: 731-423-1500
Copy
Mailing Address
THE CHILDREN'S CLINIC OF WEST TENNESSEE P.A.
264 COATSLAND DR
JACKSON, TN 38301-3948
Phone number: 731-423-1500
Copy
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