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1811362171
JACKLYN HUMBARD
NASHVILLE, TN
NPI
1811362171
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: TN 6140)
Enumeration Date
2015-12-11
Last Update Date
2015-12-11
Business Address
-- JACKLYN HUMBARD PTA
1211 MEDICAL CENTER DR
NASHVILLE, TN 37232-0004
Phone number: 615-343-9055
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Mailing Address
-- JACKLYN HUMBARD PTA
6501 HARDING PIKE APT P11
NASHVILLE, TN 37205-4020
Phone number: 815-245-2988
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