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1639670987
MATTHEW DAVID DONALDSON
KINGSPORT, TN
NPI
1639670987
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TN 2108)
Enumeration Date
2018-02-22
Last Update Date
2018-02-22
Business Address
MATTHEW DAVID DONALDSON COTA/L
2300 PAVILION DR
KINGSPORT, TN 37660-4622
Phone number: 423-765-9655
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Mailing Address
MATTHEW DAVID DONALDSON COTA/L
2300 PAVILION DR
KINGSPORT, TN 37660-4622
Phone number:
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