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1821799586
WHITNEY MARIE REVELLE
HUMBOLDT, TN
NPI
1821799586
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TN 13005048)
Enumeration Date
2023-03-10
Last Update Date
2023-03-10
Business Address
WHITNEY MARIE REVELLE
TENNESSEE STATE VETERAN'S HOME 2865 E. MAIN ST.
HUMBOLDT, TN 38343
Phone number: 731-784-8405
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Mailing Address
WHITNEY MARIE REVELLE
2281 LANIER RD
ALAMO, TN 38001-4958
Phone number: 731-345-0178
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