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1831714252
RICHARD MATTHEW FENNELL
KNOXVILLE, TN
NPI
1831714252
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TN 1153)
Enumeration Date
2020-06-11
Last Update Date
2020-06-11
Business Address
RICHARD MATTHEW FENNELL
1422 OLD WEISGARBER RD
KNOXVILLE, TN 37909-1293
Phone number: 865-558-4400
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Mailing Address
RICHARD MATTHEW FENNELL
1422 OLD WEISGARBER RD
KNOXVILLE, TN 37909-1293
Phone number:
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