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1003035981
ALLENE PROCTOR HEATON
KINGSPORT, TN
NPI
1003035981
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TN 577)
Enumeration Date
2007-04-25
Last Update Date
2007-07-08
Business Address
Mrs. ALLENE PROCTOR HEATON PT
103 W STONE DR SUITE 200
KINGSPORT, TN 37660-3220
Phone number: 423-224-5751
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Mailing Address
Mrs. ALLENE PROCTOR HEATON PT
1416 FAIRIDGE DR
KINGSPORT, TN 37664-2011
Phone number: 423-247-4072
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