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1215060371
AMBER ELISE IVEY
NEWPORT, TN
NPI
1215060371
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-03-14
Last Update Date
2007-07-08
Business Address
-- AMBER ELISE IVEY
215 HENDRICK DRIVE
NEWPORT, TN 37821
Phone number: 423-623-5301
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Mailing Address
-- AMBER ELISE IVEY
DEPARTMENT 888182
KNOXVILLE, TN 37995-8182
Phone number: 800-355-3565
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