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1285418715
CONNOR ALEXANDER BLANTON
JOHNSON CITY, TN
NPI
1285418715
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TN 14375)
Enumeration Date
2023-08-24
Last Update Date
2024-01-16
Business Address
CONNOR ALEXANDER BLANTON
1043 JACK VEST DRIVE
JOHNSON CITY, TN 37614
Phone number: 423-439-5264
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Mailing Address
CONNOR ALEXANDER BLANTON
1185 W MOUNTAIN VIEW RD APT 2104
JOHNSON CITY, TN 37604-2536
Phone number: 704-473-6507
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