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1477186963
PATRICIA BLACK LONGMIRE
OAK RIDGE, TN
NPI
1477186963
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TN OTA0000001651)
Enumeration Date
2020-02-13
Last Update Date
2020-02-13
Business Address
PATRICIA BLACK LONGMIRE
300 LABORATORY RD
OAK RIDGE, TN 37830-6911
Phone number: 865-482-7698
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Mailing Address
PATRICIA BLACK LONGMIRE
1514 REAVES RD
KNOXVILLE, TN 37912-5511
Phone number: 865-659-7961
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