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1841757838
DIXON SHAQUILLE BERMUDEZ
KNOXVILLE, TN
NPI
1841757838
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-02-26
Last Update Date
2019-02-26
Business Address
DIXON SHAQUILLE BERMUDEZ
2455 SUTHERLAND AVE
KNOXVILLE, TN 37919-2355
Phone number: 865-544-5000
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Mailing Address
DIXON SHAQUILLE BERMUDEZ
201 W SPRINGDALE AVE
KNOXVILLE, TN 37917-5158
Phone number: 865-637-9711
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