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1649228230
MICHAEL PRUMBS
KINGSPORT, TN
NPI
1649228230
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224P00000X Prosthetist
(Licence: TN PRO16)
Additional Taxonomies
222Z00000X Orthotist
(Licence: TN ORT16)
Enumeration Date
2006-05-05
Last Update Date
2008-01-07
Business Address
-- MICHAEL PRUMBS LPO
2408 FORT HENRY DR
KINGSPORT, TN 37664-3708
Phone number: 423-246-7272
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Mailing Address
-- MICHAEL PRUMBS LPO
2408 FORT HENRY DR
KINGSPORT, TN 37664-3708
Phone number: 423-246-7272
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