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1184465734
AUDREY LAUREN WIRICK
KINGSPORT, TN
NPI
1184465734
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN 8604)
Enumeration Date
2024-06-05
Last Update Date
2024-06-05
Business Address
Mrs. AUDREY LAUREN WIRICK LPTA
444 CLINCHFIELD ST STE 102
KINGSPORT, TN 37660-3859
Phone number: 423-212-5966
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Mailing Address
Mrs. AUDREY LAUREN WIRICK LPTA
155 ELMER WALKER RD
JONESBOROUGH, TN 37659-3149
Phone number:
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