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1639106362
GARY BLAINE WILKERSON
CHATTANOOGA, TN
NPI
1639106362
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TN 0000000502)
Enumeration Date
2006-06-27
Last Update Date
2007-07-08
Business Address
Dr. GARY BLAINE WILKERSON Ed.D., A.T.C.
615 MCCALLIE AVE DEPARTMENT 6606
CHATTANOOGA, TN 37403-2504
Phone number: 423-425-5394
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Mailing Address
Dr. GARY BLAINE WILKERSON Ed.D., A.T.C.
9 BIG ROCK RD
SIGNAL MOUNTAIN, TN 37377-2007
Phone number: 423-886-2998
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