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1700820131
GERALD L MANCEBO
KNOXVILLE, TN
NPI
1700820131
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: TN 14580)
Enumeration Date
2006-06-15
Last Update Date
2023-10-18
Business Address
GERALD L MANCEBO MD
501 20TH ST STE 404
KNOXVILLE, TN 37916-1822
Phone number: 865-522-6964
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Mailing Address
GERALD L MANCEBO MD
1275 DICK LONAS RD UNIT 101
KNOXVILLE, TN 37909-1383
Phone number: 865-500-2143
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