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1619552304
DONOVAN C MCLEOD
CHATTANOOGA, TN
NPI
1619552304
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
320800000X Community Based Residential Treatment Facility, Mental Illness
(Licence: TN L000000026251)
Enumeration Date
2021-03-14
Last Update Date
2021-03-14
Business Address
Mr. DONOVAN C MCLEOD
4704 KENWOOD AVE
CHATTANOOGA, TN 37411-3805
Phone number: 423-505-7866
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Mailing Address
Mr. DONOVAN C MCLEOD
PO BOX 80925
CHATTANOOGA, TN 37414-7925
Phone number: 423-505-7866
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