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Individual

TABYTHA LYN BLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3006 LAKE BROOK BLVD BLDG 2, KNOXVILLE, TN 37909-1137
(800) 255-9711
(865) 246-0959
Mailing address
200 TECH CENTER DR, KNOXVILLE, TN 37912-2747
(865) 637-9711

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
08/16/2022
Last updated
08/16/2022
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