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1700946415
MARA LEE HALL
SPARTA, TN
NPI
1700946415
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN 833)
Enumeration Date
2006-12-11
Last Update Date
2007-07-08
Business Address
Ms. MARA LEE HALL LPTA
34 GRACEY ST NHC
SPARTA, TN 38583
Phone number: 931-836-2211
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Mailing Address
Ms. MARA LEE HALL LPTA
2007 WICHITA DR
CROSSVILEE, TN 38572
Phone number: 931-788-6132
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