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1841380144
THERESA MARTIN
FORT CAMPBELL, KY
NPI
1841380144
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2006-10-15
Last Update Date
2007-07-08
Business Address
-- THERESA MARTIN
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 270-798-8372
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Mailing Address
-- THERESA MARTIN
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 270-798-8372
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