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1447685151
LORI BEDERKA LONG
CLARKSVILLE, TN
NPI
1447685151
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TN 6666)
Enumeration Date
2013-09-12
Last Update Date
2013-09-12
Business Address
-- LORI BEDERKA LONG PT
621 GRACEY AVE
CLARKSVILLE, TN 37040-4012
Phone number: 423-622-1551
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Mailing Address
-- LORI BEDERKA LONG PT
PO BOX 8114
CHATTANOOGA, TN 37414-0114
Phone number: 423-622-1551
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