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1316978612
EDDIE LEE CROCKER
DYERSBURG, TN
NPI
1316978612
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TN PT0000002313)
Enumeration Date
2006-07-05
Last Update Date
2013-12-18
Business Address
Mr. EDDIE LEE CROCKER PT
1400 SHELBY DR
DYERSBURG, TN 38024-3435
Phone number: 731-288-5056
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Mailing Address
Mr. EDDIE LEE CROCKER PT
1400 SHELBY DR
DYERSBURG, TN 38024-3435
Phone number: 731-288-5056
Copy
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