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1164621421
STACEY L SAMPSON
KINGSPORT, TN
NPI
1164621421
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
247200000X Technician, Other
Enumeration Date
2007-07-16
Last Update Date
2007-07-16
Business Address
-- STACEY L SAMPSON
2017 STONEBROOK PL
KINGSPORT, TN 37660-4000
Phone number: 423-224-1417
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Mailing Address
-- STACEY L SAMPSON
PO BOX 9054
GRAY, TN 37615-9054
Phone number: 423-467-3600
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