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1083172936
EUGENE WAYNE DUPAS
CORRYTON, TN
NPI
1083172936
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2081S0010X Physical Medicine & Rehabilitation, Sports Medicine
(Licence: TN 876)
Enumeration Date
2019-03-11
Last Update Date
2019-03-11
Business Address
EUGENE WAYNE DUPAS
7628 TAZEWELL PIKE
CORRYTON, TN 37721-2910
Phone number: 225-892-0212
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Mailing Address
EUGENE WAYNE DUPAS
828 CARTER VIEW LN
KNOXVILLE, TN 37924-3442
Phone number: 225-892-0212
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