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1073116661
STEVIE THOMAS WOODARD
ANTIOCH, TN
NPI
1073116661
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3747A0650X Technician, Attendant Care Provider
(Licence: TN 1000000027096)
Enumeration Date
2020-11-17
Last Update Date
2020-11-17
Business Address
STEVIE THOMAS WOODARD CEO/Director
2585 KANLOW DR
ANTIOCH, TN 37013-3951
Phone number: 615-635-3228
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Mailing Address
STEVIE THOMAS WOODARD CEO/Director
PO BOX 1008
ANTIOCH, TN 37011-1008
Phone number: 615-635-3228
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