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1215461074
CHASITY TEAGUE
MADISONVILLE, KY
NPI
1215461074
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: KY A01984)
Enumeration Date
2017-04-18
Last Update Date
2017-04-18
Business Address
-- CHASITY TEAGUE PTA
419 N SEMINARY ST
MADISONVILLE, KY 42431-1515
Phone number: 270-821-5564
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Mailing Address
-- CHASITY TEAGUE PTA
43 NALL ST
CLAY, KY 42404-2229
Phone number: 270-213-0134
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