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1336806322
JENNIFER WILSON
KNOXVILLE, TN
NPI
1336806322
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: TN LDN0000002929)
Enumeration Date
2021-11-24
Last Update Date
2021-12-21
Business Address
JENNIFER WILSON
6450 PROVISION CARES WAY
KNOXVILLE, TN 37909-2544
Phone number: 865-566-3272
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Mailing Address
JENNIFER WILSON
1627 COLONADE RD
KNOXVILLE, TN 37922-6308
Phone number: 662-934-1575
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