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1144623620
MARY KATHERINE HANE
TULLAHOMA, TN
NPI
1144623620
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
320800000X Community Based Residential Treatment Facility, Mental Illness
(Licence: TN 621674308)
Enumeration Date
2014-09-29
Last Update Date
2014-09-29
Business Address
-- MARY KATHERINE HANE
207 W BLACKWELL ST
TULLAHOMA, TN 37388-3395
Phone number: 931-461-0290
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Mailing Address
-- MARY KATHERINE HANE
11331 TULLAHOMA HWY
TULLAHOMA, TN 37388-6015
Phone number: 931-636-8128
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