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1730215856
DIANE GLORIA PRETORIUS
LEBANON, TN
NPI
1730215856
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TN 8040)
Enumeration Date
2007-02-25
Last Update Date
2010-10-06
Business Address
DIANE GLORIA PRETORIUS PT
1018 W MAIN ST
LEBANON, TN 37087-3302
Phone number: 615-466-5200
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Mailing Address
DIANE GLORIA PRETORIUS PT
1018 W MAIN ST
LEBANON, TN 37087-3302
Phone number: 615-466-5200
Copy
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