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1568571313
ROXANNE MALIN
JACKSON, TN
NPI
1568571313
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: TN PE 1538)
Enumeration Date
2006-08-29
Last Update Date
2007-07-09
Business Address
ROXANNE MALIN LPE
45 EXECUTIVE DR
JACKSON, TN 38305-2337
Phone number: 731-664-2083
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Mailing Address
ROXANNE MALIN LPE
18 COUNTRYWAY DR
JACKSON, TN 38305-9026
Phone number: 731-664-2083
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