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1427716240
JEFFERY WALLACE
KNOXVILLE, TN
NPI
1427716240
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-11-30
Last Update Date
2021-11-30
Business Address
JEFFERY WALLACE
205 W SPRINGDALE AVE
KNOXVILLE, TN 37917-5158
Phone number: 865-637-9711
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Mailing Address
JEFFERY WALLACE
200 TECH CENTER DR
KNOXVILLE, TN 37912-2747
Phone number: 865-637-9711
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