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1003041120
DANA LEE SLACK
CLEVELAND, TN
NPI
1003041120
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TN PT8340)
Enumeration Date
2009-05-19
Last Update Date
2009-05-19
Business Address
-- DANA LEE SLACK PT
102 DUNHILL PL NW STE B
CLEVELAND, TN 37311-3890
Phone number: 423-559-0444
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Mailing Address
-- DANA LEE SLACK PT
8823 PRODUCTION LN
OOLTEWAH, TN 37363-6511
Phone number: 423-238-7217
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