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1073930897
JANUARY ELLIS-BANSODE
KNOXVILLE, TN
NPI
1073930897
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2014-03-19
Last Update Date
2018-01-31
Business Address
JANUARY ELLIS-BANSODE DIS, MPH
140 DAMERON AVE
KNOXVILLE, TN 37917-6413
Phone number: 865-215-5822
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Mailing Address
JANUARY ELLIS-BANSODE DIS, MPH
201 W SPRINGDALE AVE
KNOXVILLE, TN 37917-5158
Phone number: 865-637-9711
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