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1457530560
PETTY ADULT AND GERIATRIC CARE CLINIC LLC
LEBANON, TN
NPI
1457530560
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Entity Type
Organization
Authorized Contact
JENNIFER ANN PETTY
Organizer
615-443-2273
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
(Licence: TN 11466)
Enumeration Date
2007-10-25
Last Update Date
2008-10-07
Business Address
PETTY ADULT AND GERIATRIC CARE CLINIC LLC
1123 N CASTLE HEIGHTS AVE SUITE H
LEBANON, TN 37087-5724
Phone number: 615-443-2273
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Mailing Address
PETTY ADULT AND GERIATRIC CARE CLINIC LLC
1123 N CASTLE HEIGHTS AVE SUITE H
LEBANON, TN 37087-5724
Phone number: 615-443-2273
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