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1699355081
NOEL MANLICLIC
NEWPORT, TN
NPI
1699355081
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TN 3171)
Enumeration Date
2021-04-10
Last Update Date
2021-04-10
Business Address
Mr. NOEL MANLICLIC RPT
135 GENERATION DR
NEWPORT, TN 37821-8018
Phone number: 423-623-0929
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Mailing Address
Mr. NOEL MANLICLIC RPT
5319 BRAZELTON RD
KNOXVILLE, TN 37918-3414
Phone number:
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