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1205390465
WILLIAM DOUGLAS BALDOCK
KNOXVILLE, TN
NPI
1205390465
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TN OTA0000000600)
Enumeration Date
2019-01-22
Last Update Date
2019-01-22
Business Address
WILLIAM DOUGLAS BALDOCK
2302 MONTEREY LN
KNOXVILLE, TN 37912-4633
Phone number: 888-531-2204
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Mailing Address
WILLIAM DOUGLAS BALDOCK
2302 MONTEREY LN
KNOXVILLE, TN 37912-4633
Phone number: 865-525-4808
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