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1417152893
VICKIE JOHNSON BLALOCK
CHATTANOOGA, TN
NPI
1417152893
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TN 0000002079)
Enumeration Date
2007-06-18
Last Update Date
2007-07-08
Business Address
Mrs. VICKIE JOHNSON BLALOCK P.T.
1 SISKIN PLZ
CHATTANOOGA, TN 37403-1306
Phone number: 423-634-1389
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Mailing Address
Mrs. VICKIE JOHNSON BLALOCK P.T.
6408 BEACON POINTE CIR
HIXSON, TN 37343-3199
Phone number: 423-843-0905
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