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1578502696
KENNETH MICHAEL SANDERS
LA FOLLETTE, TN
NPI
1578502696
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TN 000443)
Enumeration Date
2006-06-05
Last Update Date
2007-12-04
Business Address
-- KENNETH MICHAEL SANDERS PA-C
923 E CENTRAL AVE
LA FOLLETTE, TN 37766-2768
Phone number: 423-907-1200
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Mailing Address
-- KENNETH MICHAEL SANDERS PA-C
226 COVE POINTE RD
LA FOLLETTE, TN 37766-5945
Phone number:
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