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1023429172
PEGGY LUCILLE HEATHERLY
JOHNSON CITY, TN
NPI
1023429172
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: TN 0000004981)
Enumeration Date
2014-05-12
Last Update Date
2014-10-09
Business Address
-- PEGGY LUCILLE HEATHERLY LMT
708 E UNAKA AVE SUITE 3
JOHNSON CITY, TN 37601-4128
Phone number: 423-943-1600
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Mailing Address
-- PEGGY LUCILLE HEATHERLY LMT
PO BOX 1133
JOHNSON CITY, TN 37605-1133
Phone number: 423-943-1600
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