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Individual

JACOB L DUKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
179 TENNESSEE AVE N, PARSONS, TN 38363-2002
(731) 847-3784
(731) 847-6167
Mailing address
274 RIVERVIEW DR N, DECATURVILLE, TN 38329-5353
(731) 852-2036

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
35801
TN

Other

Enumeration date
02/22/2012
Last updated
02/22/2012
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