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1013532340
RETTA RILEY
JACKSON, TN
NPI
1013532340
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TN 1189)
Enumeration Date
2020-06-12
Last Update Date
2020-06-12
Business Address
RETTA RILEY
1378 UNION UNIVERSITY DR
JACKSON, TN 38305-3780
Phone number: 731-664-7060
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Mailing Address
RETTA RILEY
1804 HIGHWAY 45 BYP STE 604
JACKSON, TN 38305-4403
Phone number: 731-660-8781
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