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1891024741
DAVID J BUMGARNER
JOHNSON CITY, TN
NPI
1891024741
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: TN P0000003474)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2009-12-23
Last Update Date
2018-06-20
Business Address
DAVID J BUMGARNER PHD
2203 MCKINLEY RD
JOHNSON CITY, TN 37604
Phone number: 423-926-1171
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Mailing Address
DAVID J BUMGARNER PHD
PO BOX 4000
MOUNTAIN HOME, TN 37684-4000
Phone number: 423-926-1171
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