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1215452230
STACEY RENEA HAGENSON
KNOXVILLE, TN
NPI
1215452230
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Former Name
STACEY R SHELTON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TN 12351)
Enumeration Date
2017-08-10
Last Update Date
2022-03-31
Business Address
STACEY RENEA HAGENSON PT
103 MIDLAKE DR LOWR LEVEL
KNOXVILLE, TN 37918-3039
Phone number: 865-584-4747
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Mailing Address
STACEY RENEA HAGENSON PT
1275 DICK LONAS RD
KNOXVILLE, TN 37909-1382
Phone number: 865-584-4747
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