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1790940401
MELISSA ANN KEANE
MARYVILLE, TN
NPI
1790940401
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN 2431)
Enumeration Date
2008-07-22
Last Update Date
2008-07-22
Business Address
MELISSA ANN KEANE PTA
307 N 5TH ST
MARYVILLE, TN 37804-2921
Phone number: 865-983-0261
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Mailing Address
MELISSA ANN KEANE PTA
307 N 5TH ST
MARYVILLE, TN 37804-2921
Phone number: 865-983-0261
Copy
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