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1861560518
CARL JOSEPH BLACK
MARYVILLE, TN
NPI
1861560518
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TN PT0000000590)
Enumeration Date
2006-12-01
Last Update Date
2007-07-08
Business Address
Mr. CARL JOSEPH BLACK PT, SCS, ATC
829 E LAMAR ALEXANDER PKWY
MARYVILLE, TN 37804-5001
Phone number: 865-977-8282
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Mailing Address
Mr. CARL JOSEPH BLACK PT, SCS, ATC
PO BOX 6167
MARYVILLE, TN 37802-6167
Phone number: 865-977-8007
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