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1598997124
ALAN CHARLES QUEEN
ERWIN, TN
NPI
1598997124
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172M00000X Mechanotherapist
(Licence: TN 7561)
Enumeration Date
2009-08-15
Last Update Date
2009-08-15
Business Address
Mr. ALAN CHARLES QUEEN LMT
104 S MAIN AVE
ERWIN, TN 37650-1238
Phone number: 423-388-8940
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Mailing Address
Mr. ALAN CHARLES QUEEN LMT
104 S MAIN AVE
ERWIN, TN 37650-1238
Phone number: 423-388-8940
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