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1326348897
LAURIE L. MCBRIDE
JACKSON, TN
NPI
1326348897
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
314000000X Skilled Nursing Facility
(Licence: TN PTA0000001872)
Enumeration Date
2010-10-29
Last Update Date
2010-10-29
Business Address
Ms. LAURIE L. MCBRIDE PTA
180 W UNIVERSITY PKWY STE H
JACKSON, TN 38305-1612
Phone number: 731-660-2065
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Mailing Address
Ms. LAURIE L. MCBRIDE PTA
79 PASTURE RD
LEXINGTON, TN 38351-3120
Phone number: 731-967-2369
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