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Individual

JUSTIN RILEY STEVENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BA

Contact information

Practice address
538 W 5TH AVE, KNOXVILLE, TN 37917-7109
(865) 525-2104
(865) 525-2212
Mailing address
1923 SULPHUR SPRINGS RD, MORRISTOWN, TN 37813-5654
(423) 317-9344
(423) 714-2355

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary

Other

Enumeration date
01/24/2023
Last updated
01/24/2023
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