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1417979816
TIMOTHY CHARLES WISE
SEVIERVILLE, TN
NPI
1417979816
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: TN ODT1181)
Enumeration Date
2006-07-24
Last Update Date
2008-01-09
Business Address
Dr. TIMOTHY CHARLES WISE OD
1285 DOLLY PARTON PKWY
SEVIERVILLE, TN 37862-3705
Phone number: 865-453-3619
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Mailing Address
Dr. TIMOTHY CHARLES WISE OD
1285 DOLLY PARTON PKWY
SEVIERVILLE, TN 37862-3705
Phone number: 865-453-3619
Copy
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