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1063756542
JUSTINA LYNETTE FROST
LA FOLLETTE, TN
NPI
1063756542
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN 3024)
Enumeration Date
2012-11-21
Last Update Date
2012-11-21
Business Address
Mrs. JUSTINA LYNETTE FROST PTA
136 DAVIS LN
LA FOLLETTE, TN 37766-3118
Phone number: 423-562-0760
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Mailing Address
Mrs. JUSTINA LYNETTE FROST PTA
136 DAVIS LN
LA FOLLETTE, TN 37766-3118
Phone number: 423-562-0760
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