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1174114714
BENJAMIN KRUG
ELIZABETHTON, TN
NPI
1174114714
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: TN 6785)
Enumeration Date
2021-01-27
Last Update Date
2021-01-27
Business Address
BENJAMIN KRUG MS, OTR/L
1500 W ELK AVE STE 104
ELIZABETHTON, TN 37643-2655
Phone number: 423-543-2215
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Mailing Address
BENJAMIN KRUG MS, OTR/L
1975 W ELK AVE
ELIZABETHTON, TN 37643-3787
Phone number: 423-543-0073
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