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1508620303
VIVIAN MANDAS
OAK RIDGE, TN
NPI
1508620303
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Additional Taxonomies
363AS0400X Physician Assistant, Surgical
Enumeration Date
2024-02-12
Last Update Date
2024-02-21
Business Address
VIVIAN MANDAS PA
800 OAK RIDGE TPKE STE C100
OAK RIDGE, TN 37830-6927
Phone number: 865-483-2288
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Mailing Address
VIVIAN MANDAS PA
2733 SILICON VALLEY WAY
KNOXVILLE, TN 37931-4288
Phone number: 347-981-3905
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