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1194125104
JANA TEAGUE
GREENEVILLE, TN
NPI
1194125104
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TN 1844)
Enumeration Date
2014-08-27
Last Update Date
2014-08-27
Business Address
-- JANA TEAGUE ATC
60 SHILOH RD
GREENEVILLE, TN 37745-0595
Phone number: 937-974-3258
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Mailing Address
-- JANA TEAGUE ATC
PO BOX 5061
GREENEVILLE, TN 37743-0001
Phone number: 937-974-3258
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