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1518150945
BRENDA HACKNEY KING
COLUMBUS, IN
NPI
1518150945
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Professional Name
BRENDA LEA HACKNEY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: IN 05001004a)
Enumeration Date
2007-08-20
Last Update Date
2007-08-20
Business Address
Mrs. BRENDA HACKNEY KING
4895 PINE RIDGE DR
COLUMBUS, IN 47201-2569
Phone number: 812-342-3098
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Mailing Address
Mrs. BRENDA HACKNEY KING
4895 PINE RIDGE DR
COLUMBUS, IN 47201-2569
Phone number: 812-342-3098
Copy
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