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1730571415
RAVEN GIBSON
KNOXVILLE, TN
NPI
1730571415
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2015-03-04
Last Update Date
2015-03-04
Business Address
-- RAVEN GIBSON B.S.
2018 WESTERN AVE
KNOXVILLE, TN 37921-5718
Phone number: 865-544-0406
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Mailing Address
-- RAVEN GIBSON B.S.
6350 W ANDREW JOHNSON HWY DEPARTMENT 100
TALBOTT, TN 37877-8605
Phone number: 800-355-3565
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