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1649575036
HOLLY M MANTOOTH
BRISTOL, TN
NPI
1649575036
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: TN 9074)
Enumeration Date
2011-01-17
Last Update Date
2011-01-17
Business Address
DR. HOLLY M MANTOOTH PHARMD
1 MEDICAL PARK BLVD
BRISTOL, TN 37620-7430
Phone number: 423-844-2855
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Mailing Address
DR. HOLLY M MANTOOTH PHARMD
420 WOODWAY DR
BLOUNTVILLE, TN 37617-5558
Phone number: 423-323-3047
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