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Individual
JERRY L GASTINEAU
Active
Individual
JERRY L GASTINEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
MD7688
TN
207Q00000X
Family Medicine Physician
Primary
7688
TN
Other
Enumeration date
10/13/2006
Last updated
12/18/2014
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