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1023281524
MELORA JEAN POTTER
EDDYVILLE, KY
NPI
1023281524
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: KY A01504)
Enumeration Date
2008-04-07
Last Update Date
2008-04-07
Business Address
Mrs. MELORA JEAN POTTER PTA
236 COMMERCE ST
EDDYVILLE, KY 42038-8294
Phone number: 270-388-2222
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Mailing Address
Mrs. MELORA JEAN POTTER PTA
PO BOX 193
EDDYVILLE, KY 42038-0193
Phone number: 270-704-0865
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