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1083087118
TRACY LONGMARS
LA FOLLETTE, TN
NPI
1083087118
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN 5855)
Enumeration Date
2015-11-11
Last Update Date
2015-11-11
Business Address
-- TRACY LONGMARS
136 DAVIS LN
LA FOLLETTE, TN 37766-3118
Phone number: 423-566-0545
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Mailing Address
-- TRACY LONGMARS
930 SUGAR HOLLOW RD
LA FOLLETTE, TN 37766-5831
Phone number: 423-437-8773
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