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1750987707
AMANDA NICOLE GRAHAM
KINGSPORT, TN
NPI
1750987707
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN 7194)
Enumeration Date
2020-12-07
Last Update Date
2020-12-07
Business Address
AMANDA NICOLE GRAHAM LPTA
875 LARRY NEIL WAY
KINGSPORT, TN 37660-6368
Phone number: 423-282-9572
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Mailing Address
AMANDA NICOLE GRAHAM LPTA
2410 SUSANNAH ST
JOHNSON CITY, TN 37601-1748
Phone number: 423-282-9011
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