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1073568218
MANCEL WAYNE WAKHAM
HARRIMAN, TN
NPI
1073568218
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TN 982)
Enumeration Date
2006-05-24
Last Update Date
2018-07-08
Business Address
MANCEL WAYNE WAKHAM DO
2497 S. ROANE ST. SUITE 110
HARRIMAN, TN 37748
Phone number: 865-230-5698
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Mailing Address
MANCEL WAYNE WAKHAM DO
2497 S. ROANE ST. SUITE 110
HARRIMAN, TN 37748
Phone number: 865-230-5698
Copy
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