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1164441598
WAYNE MATTHEW HOSTLER
KINGSPORT, TN
NPI
1164441598
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Former Name
WAYNE LAMONT HOSTLER
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: TN 1268)
Enumeration Date
2006-07-18
Last Update Date
2007-12-13
Business Address
-- WAYNE MATTHEW HOSTLER PA
2050 MEADOWVIEW PKWY
KINGSPORT, TN 37660-7332
Phone number: 423-230-5000
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Mailing Address
-- WAYNE MATTHEW HOSTLER PA
2050 MEADOWVIEW PKWY
KINGSPORT, TN 37660-7332
Phone number: 423-230-5000
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