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1457480816
GLEN DALE SIMMONS
TULLAHOMA, TN
NPI
1457480816
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2007-03-03
Last Update Date
2007-07-08
Business Address
Mr. GLEN DALE SIMMONS MA
1803 N JACKSON ST
TULLAHOMA, TN 37388-2201
Phone number: 931-461-1324
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Mailing Address
Mr. GLEN DALE SIMMONS MA
402 SHERWOOD DR
TULLAHOMA, TN 37388-2162
Phone number: 931-455-5269
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