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1558974147
JOSEPH ROBERT BOUGHTER
KNOXVILLE, TN
NPI
1558974147
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-08-25
Last Update Date
2020-08-25
Business Address
JOSEPH ROBERT BOUGHTER
201 W SPRINGDALE AVE
KNOXVILLE, TN 37917-5158
Phone number: 865-637-9711
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Mailing Address
JOSEPH ROBERT BOUGHTER
201 W SPRINGDALE AVE
KNOXVILLE, TN 37917-5158
Phone number: 865-637-9711
Copy
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