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1477751238
CLAY DENEEEN DAVIS
KINGSPORT, TN
NPI
1477751238
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TN 1333)
Enumeration Date
2007-07-03
Last Update Date
2014-04-14
Business Address
CLAY DENEEEN DAVIS PA
4509 W STONE DR
KINGSPORT, TN 37660-1048
Phone number: 423-578-6484
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Mailing Address
CLAY DENEEEN DAVIS PA
4509 W STONE DR
KINGSPORT, TN 37660-1048
Phone number: 423-578-6484
Copy
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