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1760843254
CODY BLACKFORD
KNOXVILLE, TN
NPI
1760843254
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TN 1880)
Enumeration Date
2016-03-11
Last Update Date
2016-03-11
Business Address
-- CODY BLACKFORD ATC, LAT, CSCS
1422 OLD WEISGARBER RD
KNOXVILLE, TN 37909-1293
Phone number: 865-680-7965
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Mailing Address
-- CODY BLACKFORD ATC, LAT, CSCS
1734 HALEY GLENN LN
KNOXVILLE, TN 37920-9602
Phone number: 865-271-8530
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