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1972069441
TIMOTHY MARK WIDENER
KNOXVILLE, TN
NPI
1972069441
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
374700000X Technician
Enumeration Date
2019-02-20
Last Update Date
2019-02-20
Business Address
Mr. TIMOTHY MARK WIDENER
6020 LYONS VIEW PIKE
KNOXVILLE, TN 37919-6214
Phone number: 865-246-1420
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Mailing Address
Mr. TIMOTHY MARK WIDENER
201 W SPRINGDALE AVE
KNOXVILLE, TN 37917-5158
Phone number: 865-637-9711
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