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1730395153
DONNA HOWARD CROTTS
KINGSPORT, TN
NPI
1730395153
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: TN OT 1321)
Enumeration Date
2007-05-15
Last Update Date
2007-07-08
Business Address
Mrs. DONNA HOWARD CROTTS COTA
130 W RAVINE RD
KINGSPORT, TN 37660-3810
Phone number: 423-224-5535
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Mailing Address
Mrs. DONNA HOWARD CROTTS COTA
6674 HIGHWAY 91 N
LAUREL BLOOMERY, TN 37680-4002
Phone number: 423-727-6678
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