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1962828798
WILLIAM DAVID IVENS
ALCOA, TN
NPI
1962828798
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TN 1293)
Enumeration Date
2014-03-18
Last Update Date
2014-03-18
Business Address
-- WILLIAM DAVID IVENS M.S., ATC
220 ASSOCIATES BLVD
ALCOA, TN 37701-1943
Phone number: 865-980-7140
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Mailing Address
-- WILLIAM DAVID IVENS M.S., ATC
3250 SEVIERVILLE RD
MARYVILLE, TN 37804-2303
Phone number: 865-789-4523
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