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1154839421
JASON DEWAYNE SANDS
KNOXVILLE, TN
NPI
1154839421
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: TN LPN00000067088)
Enumeration Date
2018-01-19
Last Update Date
2018-01-19
Business Address
JASON DEWAYNE SANDS
5310 BALL CAMP PIKE
KNOXVILLE, TN 37921-3234
Phone number: 865-523-4704
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Mailing Address
JASON DEWAYNE SANDS
201 W SPRINGDALE AVE
KNOXVILLE, TN 37917-5158
Phone number: 865-637-9711
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