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1053715870
IDA MICHELLE DAUGHTRY
NASHVILLE, TN
NPI
1053715870
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: TN 9249)
Enumeration Date
2014-10-22
Last Update Date
2014-10-22
Business Address
-- IDA MICHELLE DAUGHTRY
1120 TWIN CIRCLE DRIVE
NASHVILLE, TN 37217
Phone number: 205-612-1715
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Mailing Address
-- IDA MICHELLE DAUGHTRY
1120 TWIN CIRCLE DRIVE
NASHVILLE, TN 37217
Phone number:
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