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1700131026
TERRA F BRYAN
PADUCAH, KY
NPI
1700131026
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
235Z00000X Speech-Language Pathologist,
Enumeration Date
2012-07-24
Last Update Date
2016-06-16
Business Address
-- TERRA F BRYAN
425 BROADWAY ST
PADUCAH, KY 42001-0713
Phone number: 270-444-3620
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Mailing Address
-- TERRA F BRYAN
425 BROADWAY ST
PADUCAH, KY 42001-0713
Phone number:
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