DANIEL GROOMS

BOLIVAR, TN
NPI1568520591
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2006-12-04
Last Update Date2007-07-09
Business Address
-- DANIEL GROOMS M.S.
10710 OLD HIGHWAY 64
BOLIVAR, TN 38008-3587
Phone number: 731-658-6113
Mailing Address
-- DANIEL GROOMS M.S.
10710 OLD HIGHWAY 64
BOLIVAR, TN 38008-3587
Phone number: 731-658-6113
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