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Individual

MR. JOHN W GARY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
B.A.

Contact information

Practice address
3810 WINCHESTER RD, MEMPHIS, TN 38118-6045
(901) 369-1420
(901) 369-1433
Mailing address
1310 S HIGHLAND ST, MEMPHIS, TN 38111-5110
(901) 672-7549

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
02/16/2009
Last updated
02/16/2009
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