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Case Number and Status

Case Number: I-200-15162-756200

Submitted on:

CERTIFIED

on:

Employment

From: 2015-07-01

To: 2018-06-30 (1,095 days)

Address

Po Box 699
Mountain Home, TN 37684

Phone

4234395606


Job Summary

Job Title
Physician
City and State
Johnson City, TN
County
Washington

Soc Code
29-1063.00
Naics Code
Industry Code
621111