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1881237774
IAN GORDON MACLEOD
MARYVILLE, TN
NPI
1881237774
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN 7208)
Enumeration Date
2019-10-23
Last Update Date
2019-10-23
Business Address
IAN GORDON MACLEOD
2648 SEVIERVILLE RD
MARYVILLE, TN 37804-3643
Phone number: 865-984-1660
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Mailing Address
IAN GORDON MACLEOD
2027 ISLAND HOME BLVD
KNOXVILLE, TN 37920-2740
Phone number: 865-237-3124
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