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1235560335
PAUL LAWRENCE
KINGSPORT, TN
NPI
1235560335
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TN 2448)
Enumeration Date
2013-11-29
Last Update Date
2014-03-20
Business Address
-- PAUL LAWRENCE
130 W RAVINE RD
KINGSPORT, TN 37660-3837
Phone number: 423-224-3628
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Mailing Address
-- PAUL LAWRENCE
105 W STONE DR SUITE 6A
KINGSPORT, TN 37660-3365
Phone number: 423-408-7220
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