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1629201900
KRYSTAL JO VISSER
JOHNSON CITY, TN
NPI
1629201900
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2009-09-02
Last Update Date
2009-09-02
Business Address
-- KRYSTAL JO VISSER BSW
109 W WATAUGA AVE
JOHNSON CITY, TN 37604-5621
Phone number: 423-232-2600
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Mailing Address
-- KRYSTAL JO VISSER BSW
1167 SPRATLIN PARK DR
GRAY, TN 37615-6205
Phone number: 423-467-3600
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