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1841417524
BETTIE WALLENE DAVIS
GREENEVILLE, TN
NPI
1841417524
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN 0000000914)
Enumeration Date
2007-04-20
Last Update Date
2007-07-08
Business Address
Mrs. BETTIE WALLENE DAVIS PTA
1420 TUSCULUM BLVD
GREENEVILLE, TN 37745-4279
Phone number: 423-787-5063
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Mailing Address
Mrs. BETTIE WALLENE DAVIS PTA
2065 WEEMS CHAPEL RD
MOSHEIM, TN 37818-2841
Phone number: 423-787-5063
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