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1821161563
TESSA LYNN DEFORE
VINCENNES, IN
NPI
1821161563
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IN 06003155A)
Enumeration Date
2006-11-17
Last Update Date
2007-07-08
Business Address
Mrs. TESSA LYNN DEFORE PTA
406 N 1ST ST SUITE B
VINCENNES, IN 47591-1340
Phone number: 812-885-2770
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Mailing Address
Mrs. TESSA LYNN DEFORE PTA
406 N 1ST ST SUITE B
VINCENNES, IN 47591-1340
Phone number: 812-885-2770
Copy
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