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Case Number and Status

Case Number: I-200-20344-943247

Submitted on:

Certified

on:

Employment

From: 2020-12-15

To: 2023-12-14 (1,094 days)

Address

Po Box 699,
Mountain Home, TN 37684

Phone

14234395606


Job Summary

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

Soc Code
29-1065.00
Naics Code
Industry Code
62111