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1558796664
STACIE D MCNATT
HUMBOLDT, TN
NPI
1558796664
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN PTA0000004020)
Enumeration Date
2013-09-08
Last Update Date
2013-09-08
Business Address
-- STACIE D MCNATT PTA
2031 AVONDALE ST
HUMBOLDT, TN 38343-1810
Phone number: 731-784-3655
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Mailing Address
-- STACIE D MCNATT PTA
4127 OLD MEDINA RD
MEDINA, TN 38355-8633
Phone number:
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