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1043873383
SUZANNE EARNEST GRAHAM
BRENTWOOD, TN
NPI
1043873383
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN PTA4047)
Enumeration Date
2019-04-22
Last Update Date
2019-04-22
Business Address
Mrs. SUZANNE EARNEST GRAHAM LPTA
103 ARCARO PL
BRENTWOOD, TN 37027-5061
Phone number: 812-760-7028
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Mailing Address
Mrs. SUZANNE EARNEST GRAHAM LPTA
208 KEY CT
BRENTWOOD, TN 37027-5437
Phone number: 615-712-7246
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