NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1164815817
FOX
THEODORE
D
105 W STONE DR
KINGSPORT
TN
376603365
1629517099
FRITZ
LETITIA
BOBBETTE
105 W STONE DR STE 6A
KINGSPORT
TN
376603256
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