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1134901143
CRYSTAL BOSTIC
KNOXVILLE, TN
NPI
1134901143
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: TN 7826)
Enumeration Date
2023-10-16
Last Update Date
2024-01-02
Business Address
CRYSTAL BOSTIC
2929 TAZEWELL PIKE
KNOXVILLE, TN 37918-1874
Phone number: 865-328-7370
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Mailing Address
CRYSTAL BOSTIC
90 HOWARD DR
SHELBYVILLE, KY 40065-8138
Phone number: 502-633-1007
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