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1952685208
COURTNEY ELYSE WAMPLER
JOHNSON CITY, TN
NPI
1952685208
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Former Name
COURTNEY ELYSE PUCKETT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2011-10-05
Last Update Date
2011-10-05
Business Address
COURTNEY ELYSE WAMPLER
109 W WATAUGA AVE
JOHNSON CITY, TN 37604-5621
Phone number: 423-232-2600
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Mailing Address
COURTNEY ELYSE WAMPLER
1167 SPRATLIN PARK DR
GRAY, TN 37615-6205
Phone number: 423-467-3600
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