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1659148260
SHANE TYLER EZELL
KNOXVILLE, TN
NPI
1659148260
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-12-05
Last Update Date
2023-12-05
Business Address
Mr. SHANE TYLER EZELL
600 ARTHUR ST
KNOXVILLE, TN 37921-6405
Phone number: 865-523-8695
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Mailing Address
Mr. SHANE TYLER EZELL
200 TECH CENTER DR
KNOXVILLE, TN 37912-2747
Phone number: 865-637-9711
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