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1386375400
CARSON ELISE BAILEY
MC KENZIE, TN
NPI
1386375400
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Former Name
CARSON ELISE HATCH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TN 3826)
Enumeration Date
2022-06-20
Last Update Date
2022-06-20
Business Address
CARSON ELISE BAILEY COTA/L
14510 HIGHWAY 79
MC KENZIE, TN 38201-7824
Phone number: 731-352-5317
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Mailing Address
CARSON ELISE BAILEY COTA/L
224 HIGH ST
HUNTINGDON, TN 38344-3206
Phone number: 731-499-0295
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