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1134727043
MATTHEW BRONSON KING
KINGSPORT, TN
NPI
1134727043
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TN 3484)
Enumeration Date
2020-10-13
Last Update Date
2020-10-13
Business Address
MATTHEW BRONSON KING
1315 RIVERBEND DR APT 109
KINGSPORT, TN 37664-6004
Phone number: 423-620-5715
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Mailing Address
MATTHEW BRONSON KING
1315 RIVERBEND DR APT 109
KINGSPORT, TN 37664-6004
Phone number: 423-620-5715
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