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1093448318
MARLENA WAKE
JACKSON, TN
NPI
1093448318
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN 8077)
Enumeration Date
2022-07-05
Last Update Date
2022-07-05
Business Address
MARLENA WAKE
614 CARRIAGE HOUSE DR
JACKSON, TN 38305-4238
Phone number: 731-668-4449
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Mailing Address
MARLENA WAKE
257 BANCORP SOUTH PKWY
JACKSON, TN 38305-7582
Phone number: 731-660-8781
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