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1447374509
DEWAYNE DURHAM
CHATTANOOGA, TN
NPI
1447374509
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
156FX1800X Technician/Technologist, Optician
(Licence: TN TN0844)
Enumeration Date
2007-03-16
Last Update Date
2007-07-08
Business Address
Mr. DEWAYNE DURHAM DPO
7002 SHALLOWFORD RD
CHATTANOOGA, TN 37421-1715
Phone number: 423-499-0810
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Mailing Address
Mr. DEWAYNE DURHAM DPO
5515 MILLSTONE DR
OOLTEWAH, TN 37363-6859
Phone number: 423-238-6821
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