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1790433290
LILLIE TEAGUE SHEPARD
ONEONTA, AL
NPI
1790433290
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AL PTA8055)
Enumeration Date
2022-03-14
Last Update Date
2022-03-14
Business Address
LILLIE TEAGUE SHEPARD PTA
410 2ND AVE E STE C
ONEONTA, AL 35121-1412
Phone number: 205-274-0922
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Mailing Address
LILLIE TEAGUE SHEPARD PTA
1200 CORPORATE DR STE 400
HOOVER, AL 35242-5424
Phone number: 423-238-7217
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