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1740516913
MARY C WISE
MURFREESBORO, TN
NPI
1740516913
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IA 00967)
Enumeration Date
2009-10-23
Last Update Date
2009-10-23
Business Address
-- MARY C WISE OTR
1335 NW BROAD ST
MURFREESBORO, TN 37129-4428
Phone number: 615-896-6400
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Mailing Address
-- MARY C WISE OTR
79 6TH AVE
GRINNELL, IA 50112
Phone number: 615-896-6400
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