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NPI Provider: 1407915697
Contact Name: Gann Leon Jack
Position: Owner
Phone: (865) 599-0140
J And D Corporation Information:
J And D Corporation organization have npi 1407915697, taxonomy code is 332BC3200X with license number is 10841 in . This Business address located in 1340 Brushy Valley Rd, Heiskell, TN 37754 Tennessee.
Practice Location
Address: 1340 Brushy Valley Rd, Heiskell, TN 37754
Phone: (865) 599-0140
Business Location
Address: 1340 Brushy Valley Rd, Heiskell, TN 37754
Phone: (865) 599-0140
Fax: (865) 494-8850
Taxonomy
Taxonomy Code: 332BC3200X
License Number: 10841
License Number of State: TN
Primary Taxonomy Switch: Y
Enumeration Date: 12/6/2006
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