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1003485871
MICHELE LYNN DIETZ
GREENEVILLE, TN
NPI
1003485871
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN PTA0000005109)
Enumeration Date
2021-06-24
Last Update Date
2021-06-24
Business Address
MICHELE LYNN DIETZ
1804 BRENTWOOD DR
GREENEVILLE, TN 37743-6617
Phone number: 231-730-0907
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Mailing Address
MICHELE LYNN DIETZ
1804 BRENTWOOD DR
GREENEVILLE, TN 37743-6617
Phone number: 231-730-0907
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