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Case Number and Status

Case Number: I-200-16131-692712

Submitted on:

CERTIFIED

on:

Employment

From: 2016-07-01

To: 2019-06-30 (1,094 days)

Address

854 W. James Campbell Blvd., Suite 303
Columbia, TN 38401

Phone

9315404255


Attorney Summary

Location
New York, NY

Job Summary

Job Title
Physician
City and State
Waynesboro, TN
County
Wayne

Soc Code
29-1069.00
Naics Code
Industry Code
621111