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1205230539
DEVAN TAYLOR
MCMINNVILLE, TN
NPI
1205230539
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN 5870)
Enumeration Date
2014-10-15
Last Update Date
2014-10-15
Business Address
-- DEVAN TAYLOR PTA
928 OLD SMITHVILLE RD
MCMINNVILLE, TN 37110-6805
Phone number: 931-473-8431
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Mailing Address
-- DEVAN TAYLOR PTA
928 OLD SMITHVILLE RD
MCMINNVILLE, TN 37110-6805
Phone number: 931-473-8431
Copy
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