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1013093251
LARRY A PRISLAVSKY
FARRAGUT, TN
NPI
1013093251
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TN PT0000001777)
Enumeration Date
2006-10-31
Last Update Date
2007-07-08
Business Address
MR. LARRY A PRISLAVSKY RPT
120 CAVETT HILL LANE NHL - FARRAGUT
FARRAGUT, TN 37934
Phone number: 865-777-4000
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Mailing Address
MR. LARRY A PRISLAVSKY RPT
508 BRIAR GATE LANE
KNOXVILLE, TN 37934
Phone number: 865-777-0224
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