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1538707302
JOHN MARK FRAZIER
EAST RIDGE, TN
NPI
1538707302
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172A00000X Driver
Enumeration Date
2019-12-12
Last Update Date
2019-12-12
Business Address
Mr. JOHN MARK FRAZIER
185 CECIL LN
EAST RIDGE, TN 37412-2211
Phone number: 423-618-1496
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Mailing Address
Mr. JOHN MARK FRAZIER
185 CECIL LN
EAST RIDGE, TN 37412-2211
Phone number: 423-618-1496
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