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1215960521
MICHELLE R BEVIS
JACKSON, TN
NPI
1215960521
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: TN 1449)
Enumeration Date
2006-07-09
Last Update Date
2009-07-29
Business Address
-- MICHELLE R BEVIS OT
32 GARLAND DR
JACKSON, TN 38305-3602
Phone number: 731-664-3645
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Mailing Address
-- MICHELLE R BEVIS OT
1804 HIGHWAY 45 BYP STE 604
JACKSON, TN 38305-4436
Phone number: 731-660-8755
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