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1124632831
MARY HELEN FUQUA
JOHNSON CITY, TN
NPI
1124632831
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225800000X Recreation Therapist
Enumeration Date
2020-09-01
Last Update Date
2020-09-01
Business Address
MARY HELEN FUQUA CTRS
809 LAMONT ST
JOHNSON CITY, TN 37604-5453
Phone number: 423-926-1171
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Mailing Address
MARY HELEN FUQUA CTRS
PO BOX 4000
MOUNTAIN HOME, TN 37684-4000
Phone number:
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