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1215077854
CAROL MARIE HERON
CLARKSVILLE, TN
NPI
1215077854
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN 3253)
Enumeration Date
2007-02-06
Last Update Date
2007-07-08
Business Address
Mrs. CAROL MARIE HERON LPTA, CLT
1808 HAYNES ST
CLARKSVILLE, TN 37043-4547
Phone number: 931-906-4170
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Mailing Address
Mrs. CAROL MARIE HERON LPTA, CLT
701 RAINSWOOD CT
CLARKSVILLE, TN 37043-1944
Phone number: 931-920-0089
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