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1134511769
CARRIE JUSTINA GORDON
ATHENS, TN
NPI
1134511769
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN 4698)
Enumeration Date
2015-02-18
Last Update Date
2015-02-18
Business Address
-- CARRIE JUSTINA GORDON
1204 FRYE ST
ATHENS, TN 37303-3052
Phone number: 423-745-0434
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Mailing Address
-- CARRIE JUSTINA GORDON
1204 FRYE ST
ATHENS, TN 37303-3052
Phone number: 423-745-0434
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