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1356021794
VANCE EDWARD BREEDEN
KNOXVILLE, TN
NPI
1356021794
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
Enumeration Date
2023-07-20
Last Update Date
2023-07-20
Business Address
Mr. VANCE EDWARD BREEDEN PTA
5321 BEVERLY PARK CIR
KNOXVILLE, TN 37918-9253
Phone number: 865-687-1321
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Mailing Address
Mr. VANCE EDWARD BREEDEN PTA
6724 FANTASIA RD
KNOXVILLE, TN 37918-8011
Phone number: 865-789-9996
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