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1780603787
MARY VIVIAN MANTOOTH
LEITCHFIELD, KY
NPI
1780603787
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Other Name
MARY VIVIAN HAYDEN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: KY PT001004)
Enumeration Date
2006-07-19
Last Update Date
2007-12-06
Business Address
MRS. MARY VIVIAN MANTOOTH PT
358 S MAIN ST
LEITCHFIELD, KY 42754-1428
Phone number: 270-259-0551
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Mailing Address
MRS. MARY VIVIAN MANTOOTH PT
358 SOUTH MAIN STREET
LEITCHFIELD, KY 42754
Phone number: 270-259-0551
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