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1720089196
GRETCHEN DENE ETHEREDGE
LEBANON, TN
NPI
1720089196
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TN 4695)
Enumeration Date
2005-08-09
Last Update Date
2007-09-13
Business Address
GRETCHEN DENE ETHEREDGE PT
1018 W MAIN ST
LEBANON, TN 37087-3302
Phone number: 615-466-5200
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Mailing Address
GRETCHEN DENE ETHEREDGE PT
1616 W MAIN ST
LEBANON, TN 37087-3100
Phone number: 615-449-0990
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