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1912203035
LESLIE SAMPLES
JACKSON, TN
NPI
1912203035
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN 3487)
Enumeration Date
2011-02-07
Last Update Date
2011-02-07
Business Address
Mrs. LESLIE SAMPLES PTA
175 DEEP GAP RD 175 DEEP GAP RD.
JACKSON, TN 38301-9058
Phone number: 731-736-0476
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Mailing Address
Mrs. LESLIE SAMPLES PTA
175 DEEP GAP RD 175 DEEP GAP RD.
JACKSON, TN 38301-9058
Phone number:
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