Individual
JASON DOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2861 PATTERSON PL, HUMBOLDT, TN 38343-2058
(731) 986-4411
Mailing address
2861 PATTERSON PL, HUMBOLDT, TN 38343-2058
(731) 986-4411
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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