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Individual

JERRY PHILLIP DEBUHR JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPH

Contact information

Practice address
11927 KINGSTON PIKE, KNOXVILLE, TN 37934-4602
(865) 671-0932
Mailing address
12807 HEATHLAND DR, KNOXVILLE, TN 37934-4445
(865) 966-5749

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
C-6540
TN

Other

Enumeration date
06/25/2010
Last updated
06/25/2010
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