TINA LANETTE VINE

MC KENZIE, TN
NPI1669538005
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: TN  SP0000001960)
Enumeration Date2006-12-29
Last Update Date2007-07-08
Business Address
-- TINA LANETTE VINE MACCCSLP
175 HOSPITAL DR
MC KENZIE, TN 38201-1636
Phone number: 731-352-3908
Mailing Address
-- TINA LANETTE VINE MACCCSLP
327 HEAD ST
PARIS, TN 38242-4140
Phone number: 731-642-7439
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