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1629410535
GILLIAM DOUGLASS
KNOXVILLE, TN
NPI
1629410535
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2013-07-19
Last Update Date
2013-07-19
Business Address
GILLIAM DOUGLASS
201 W SPRINGDALE AVE
KNOXVILLE, TN 37917-5158
Phone number: 865-637-9711
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Mailing Address
GILLIAM DOUGLASS
201 W SPRINGDALE AVE
KNOXVILLE, TN 37917-5158
Phone number: 865-637-9711
Copy
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