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1861580516
GINA GRANSTAFF
LEBANON, TN
NPI
1861580516
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN PTA0000002723)
Enumeration Date
2006-10-10
Last Update Date
2007-07-08
Business Address
-- GINA GRANSTAFF
1420 W BADDOUR PKWY
LEBANON, TN 37087-1510
Phone number: 615-443-9036
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Mailing Address
-- GINA GRANSTAFF
514 TIMS WAY DR
LEBANON, TN 37087-0220
Phone number: 615-449-5547
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