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1760649461
AMY C HEFFERNAN
JACKSON, TN
NPI
1760649461
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN 3644)
Enumeration Date
2008-05-20
Last Update Date
2008-05-20
Business Address
-- AMY C HEFFERNAN PTA
45 FOREST CV
JACKSON, TN 38301-4366
Phone number: 731-424-4200
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Mailing Address
-- AMY C HEFFERNAN PTA
80 BRENTMEADE CV
JACKSON, TN 38305-6406
Phone number: 731-424-4200
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