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1245575885
GRANT H DAVIS
MARYVILLE, TN
NPI
1245575885
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TN 1318)
Enumeration Date
2012-12-09
Last Update Date
2021-10-11
Business Address
GRANT H DAVIS ATC, LAT
502 E LAMAR ALEXANDER PKWY
MARYVILLE, TN 37804-5907
Phone number: 865-981-8289
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Mailing Address
GRANT H DAVIS ATC, LAT
7413 WERKBUND WAY
KNOXVILLE, TN 37920-7631
Phone number: 865-806-1491
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