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1942655097
AUSTIN JACOB WISE
MEMPHIS, TN
NPI
1942655097
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: TN 3655)
Enumeration Date
2016-04-26
Last Update Date
2019-06-28
Business Address
AUSTIN JACOB WISE D.O.
920 MADISON AVE STE 447
MEMPHIS, TN 38103-3438
Phone number: 901-448-5814
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Mailing Address
AUSTIN JACOB WISE D.O.
920 MADISON AVE STE 447
MEMPHIS, TN 38103-3438
Phone number: 901-448-5814
Copy
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