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1457591109
RANDY GLEN LAWSON
CLEVELAND, TN
NPI
1457591109
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN 0000000521)
Enumeration Date
2009-02-20
Last Update Date
2009-02-20
Business Address
Mr. RANDY GLEN LAWSON PTA
2657 APD 40 SOUTH FORK PLAZA
CLEVELAND, TN 37323-0696
Phone number: 423-339-1492
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Mailing Address
Mr. RANDY GLEN LAWSON PTA
2657 APD 40 SOUTH FORK PLAZA
CLEVELAND, TN 37323-0696
Phone number: 423-339-1492
Copy
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