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1679040232
SUE ELLEN CLOSE
LEWISBURG, TN
NPI
1679040232
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: TN 489)
Enumeration Date
2018-10-31
Last Update Date
2018-10-31
Business Address
SUE ELLEN CLOSE
1653 MOORESVILLE HWY
LEWISBURG, TN 37091-1413
Phone number: 931-359-4506
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Mailing Address
SUE ELLEN CLOSE
1653 MOORESVILLE HWY
LEWISBURG, TN 37091-1413
Phone number: 931-359-4506
Copy