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1316081458
PAGE ELLIS MAYO
KINGSPORT, TN
NPI
1316081458
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: TN 3321)
Enumeration Date
2007-02-19
Last Update Date
2007-07-08
Business Address
MRS. PAGE ELLIS MAYO P.T.
130 W RAVINE RD
KINGSPORT, TN 37660-3810
Phone number: 423-224-5510
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Mailing Address
MRS. PAGE ELLIS MAYO P.T.
1820 BUCKINGHAM CT
KINGSPORT, TN 37660-5870
Phone number: 423-288-6861
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