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1316271638
CASEY TERRY
JACKSBORO, TN
NPI
1316271638
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
126800000X Dental Assistant
(Licence: TN DA0000010658)
Enumeration Date
2009-09-21
Last Update Date
2009-09-21
Business Address
-- CASEY TERRY
162 SHARP AND PERKINS RD
JACKSBORO, TN 37757-2507
Phone number: 423-562-8351
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Mailing Address
-- CASEY TERRY
162 SHARP AND PERKINS RD P.O. BOX 418
JACKSBORO, TN 37757-2507
Phone number: 423-562-8351
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