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1558422972
ANDREA NICOLE DAVIS
BRISTOL, TN
NPI
1558422972
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN 3863)
Enumeration Date
2006-12-12
Last Update Date
2007-07-08
Business Address
-- ANDREA NICOLE DAVIS PTA
1 MEDICAL PARK BLVD
BRISTOL, TN 37620-7430
Phone number: 276-496-5265
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Mailing Address
-- ANDREA NICOLE DAVIS PTA
205 EASY STR
SALTVILLE, VA 24370
Phone number: 276-496-5265
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