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1427522317
JILL MARIE HERREN
KINGSPORT, TN
NPI
1427522317
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN 1792)
Enumeration Date
2019-01-14
Last Update Date
2019-01-14
Business Address
JILL MARIE HERREN LPTA
100 NETHERLAND LN
KINGSPORT, TN 37660-7245
Phone number: 423-245-0360
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Mailing Address
JILL MARIE HERREN LPTA
2024 CANTERBURY RD
KINGSPORT, TN 37660-5027
Phone number: 423-276-5258
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