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1508350109
COLBY LEE CROSS
SPARTA, TN
NPI
1508350109
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN 6774)
Enumeration Date
2018-06-18
Last Update Date
2018-06-18
Business Address
COLBY LEE CROSS PTA
34 GRACEY ST
SPARTA, TN 38583-2046
Phone number: 931-836-2211
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Mailing Address
COLBY LEE CROSS PTA
2170 IRIS LN
RICKMAN, TN 38580-2162
Phone number: 931-265-7594
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