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1366010241
ALIVIA CHURCH
HUMBOLDT, TN
NPI
1366010241
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN 7539)
Enumeration Date
2021-06-16
Last Update Date
2021-06-16
Business Address
ALIVIA CHURCH
3525 CHERE CAROL RD
HUMBOLDT, TN 38343-3636
Phone number: 731-824-5551
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Mailing Address
ALIVIA CHURCH
1804 HIGHWAY 45 BYP STE 604
JACKSON, TN 38305-4403
Phone number: 731-660-8781
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