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1255804589
SHAUNA LYNN DOUGLAS
KNOXVILLE, TN
NPI
1255804589
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN 0000005604)
Enumeration Date
2019-01-09
Last Update Date
2019-01-09
Business Address
SHAUNA LYNN DOUGLAS PTA
5321 BEVERLY PARK CIR
KNOXVILLE, TN 37918-9253
Phone number: 865-687-1321
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Mailing Address
SHAUNA LYNN DOUGLAS PTA
155 RACCOON VALLEY RD
MAYNARDVILLE, TN 37807-3144
Phone number: 865-200-6372
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