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1003242470
SCHANDA FUGATE
LA FOLLETTE, TN
NPI
1003242470
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN 4666)
Enumeration Date
2013-09-17
Last Update Date
2013-09-18
Business Address
-- SCHANDA FUGATE
136 DAVIS LN
LA FOLLETTE, TN 37766-3118
Phone number: 423-562-0760
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Mailing Address
-- SCHANDA FUGATE
829 W MOUNTCASTLE ST
JEFFERSON CITY, TN 37760-1829
Phone number: 423-277-6615
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