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1164559977
JUSTIN EUGENE CREASEY
KNOXVILLE, TN
NPI
1164559977
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TN AT 0000000724)
Enumeration Date
2007-02-28
Last Update Date
2007-07-08
Business Address
Mr. JUSTIN EUGENE CREASEY ATC
260 FORT SANDERS WEST BLVD STE 200
KNOXVILLE, TN 37922-3355
Phone number: 865-558-4418
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Mailing Address
Mr. JUSTIN EUGENE CREASEY ATC
2763 SHERINGHAM DR
POWELL, TN 37849-4836
Phone number: 865-947-5848
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