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1982021069
PRODIGAL FAMILY HEALTHCARE
KNOXVILLE, TN
NPI
1982021069
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Entity Type
Organization
Authorized Contact
SYLVIA HOFSTETTER
President
865-288-3754
Organization Subpart ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TN 1506)
Enumeration Date
2014-03-26
Last Update Date
2014-03-26
Business Address
PRODIGAL FAMILY HEALTHCARE
2911 ESSARY DR
KNOXVILLE, TN 37918-2468
Phone number: 865-288-3754
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Mailing Address
PRODIGAL FAMILY HEALTHCARE
2911 ESSARY DR
KNOXVILLE, TN 37918-2468
Phone number: 865-288-3754
Copy
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