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1073854675
CHRISTOPHER DALE SIMMONS
ANTIOCH, TN
NPI
1073854675
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TN ota0000001463)
Enumeration Date
2013-03-06
Last Update Date
2013-04-24
Business Address
-- CHRISTOPHER DALE SIMMONS cota/l
2888 LERA JONES DR
ANTIOCH, TN 37013-1317
Phone number: 615-712-9626
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Mailing Address
-- CHRISTOPHER DALE SIMMONS cota/l
2888 LERA JONES DR
ANTIOCH, TN 37013-1317
Phone number: 615-712-9626
Copy
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