Individual
MR. PAUL VACHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
317 CHEROKEE ST STE 101, KINGSPORT, TN 37660-4335
(423) 288-2662
Mailing address
317 CHEROKEE ST STE 101, KINGSPORT, TN 37660-4335
(423) 288-2662
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4851
TN
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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