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1780939108
KEVIN CLARK BLANTON
KNOXVILLE, TN
NPI
1780939108
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: TN TNP1158)
Enumeration Date
2012-07-23
Last Update Date
2012-07-23
Business Address
-- KEVIN CLARK BLANTON Ph.D.
4006 SUTHERLAND AVE
KNOXVILLE, TN 37919-5103
Phone number: 865-584-6111
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Mailing Address
-- KEVIN CLARK BLANTON Ph.D.
4006 SUTHERLAND AVE
KNOXVILLE, TN 37919-5103
Phone number:
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