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1245818236
DEIONTE ASEAN BIVINS
KNOXVILLE, TN
NPI
1245818236
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-03-31
Last Update Date
2021-03-31
Business Address
DEIONTE ASEAN BIVINS
205 W SPRINGDALE AVE
KNOXVILLE, TN 37917-5158
Phone number: 865-673-9711
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Mailing Address
DEIONTE ASEAN BIVINS
200 TECH CENTER DR
KNOXVILLE, TN 37912-2747
Phone number: 865-637-9711
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