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1073749446
RICHARD ALLEN BOODY
HEISKELL, TN
NPI
1073749446
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
146N00000X Emergency Medical Technician, Basic
(Licence: TN 0024131)
Enumeration Date
2009-05-30
Last Update Date
2009-05-30
Business Address
Mr. RICHARD ALLEN BOODY EMT IV
709 BRUSHY VALLEY RD
HEISKELL, TN 37754-2809
Phone number: 865-457-5910
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Mailing Address
Mr. RICHARD ALLEN BOODY EMT IV
709 BRUSHY VALLEY RD
HEISKELL, TN 37754-2809
Phone number: 865-457-5910
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