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Individual

JULIE A JACQUES

Active
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Individual

JULIE A JACQUES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
DO1497
TN
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
DO1497
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3307672
TN
Enumeration date
05/11/2006
Last updated
06/24/2008
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