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1821595513
MATTHEW ZACHARIAH FOOTE
JOHNSON CITY, TN
NPI
1821595513
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TN 1959)
Enumeration Date
2018-04-09
Last Update Date
2018-04-09
Business Address
MATTHEW ZACHARIAH FOOTE
1081 JOHN ROBERT BELL DRIVE
JOHNSON CITY, TN 37601-3760
Phone number: 225-266-9343
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Mailing Address
MATTHEW ZACHARIAH FOOTE
2814 S GREENWOOD DR APT 15
JOHNSON CITY, TN 37604-3214
Phone number: 607-351-9389
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