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Individual

JAXSON JAMES GASSID

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4005 CEDAR GLADES DR STE A, MURFREESBORO, TN 37128-3203
(615) 560-6622
Mailing address
1320 JOURNEY DR # 167, MURFREESBORO, TN 37130-3453
(405) 509-1638

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
09/02/2024
Last updated
09/02/2024
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