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1891118071
ERNEST DISMUKE
SMYRNA, TN
NPI
1891118071
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: TN 3072)
Enumeration Date
2014-01-24
Last Update Date
2014-01-24
Business Address
Mr. ERNEST DISMUKE OT R/L
601 WOODHAVEN DR
SMYRNA, TN 37167-4179
Phone number: 615-594-1075
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Mailing Address
Mr. ERNEST DISMUKE OT R/L
601 WOODHAVEN DR
SMYRNA, TN 37167-4179
Phone number: 615-594-1075
Copy
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