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1871050104
MAQUIA MASSIRIE HALL-BOOTH
CLARKSVILLE, TN
NPI
1871050104
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
385HR2065X Respite Care, Respite Care, Physical Disabilities, Child
(Licence: TN 0219037)
Enumeration Date
2019-02-22
Last Update Date
2019-02-22
Business Address
MAQUIA MASSIRIE HALL-BOOTH LPN
3129 WESTCHESTER DR
CLARKSVILLE, TN 37043-3804
Phone number: 708-359-5472
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Mailing Address
MAQUIA MASSIRIE HALL-BOOTH LPN
3129 WESTCHESTER DR
CLARKSVILLE, TN 37043-3804
Phone number: 708-359-5472
Copy
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