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1316350291
WILLIAM TANTUM
MARYVILLE, TN
NPI
1316350291
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: TN 3174)
Enumeration Date
2014-06-09
Last Update Date
2014-06-09
Business Address
DR. WILLIAM TANTUM O.D.
1732 W BROADWAY AVE
MARYVILLE, TN 37801-5510
Phone number: 865-982-6761
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Mailing Address
DR. WILLIAM TANTUM O.D.
1732 W BROADWAY AVE
MARYVILLE, TN 37801-5510
Phone number: 865-982-6761
Copy
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