W2ILLIAM L DEVAULT

BLOUNTVILLE, TN
NPI1073728564
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2007-05-10
Last Update Date2007-07-09
Business Address
Mr. W2ILLIAM L DEVAULT phr
154 BLOUNTVILLE BY-PASS
BLOUNTVILLE, TN 37617
Phone number: 423-279-2856
Mailing Address
Mr. W2ILLIAM L DEVAULT phr
154 BLOUNTVILLE BY-PASS
BLOUNTVILLE, TN 37617
Phone number: 423-279-2856
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