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1104059021
JUSTIN RYAN DREY
NEWPORT, TN
NPI
1104059021
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
172V00000X Community Health Worker
Enumeration Date
2009-08-26
Last Update Date
2010-09-29
Business Address
-- JUSTIN RYAN DREY MA
215 HEDRICK DR
NEWPORT, TN 37821-2902
Phone number: 423-623-5301
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Mailing Address
-- JUSTIN RYAN DREY MA
6350 W A J HWY DEPARTMENT 100
TALBOTT, TN 37877
Phone number: 800-355-3565
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