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1386073625
ANTHONY JAWAN CARLIE
JOHNSON CITY, TN
NPI
1386073625
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2013-11-07
Last Update Date
2013-11-07
Business Address
-- ANTHONY JAWAN CARLIE
109 W WATAUGA AVE
JOHNSON CITY, TN 37604-5621
Phone number: 423-232-2600
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Mailing Address
-- ANTHONY JAWAN CARLIE
1167 SPRATLIN PARK DR
GRAY, TN 37615-6205
Phone number: 423-467-3600
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