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1952010621
MICAH VAILES
COOKEVILLE, TN
NPI
1952010621
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TN 13786)
Enumeration Date
2022-11-21
Last Update Date
2023-05-17
Business Address
MICAH VAILES
675 S JEFFERSON AVE STE C
COOKEVILLE, TN 38501-0949
Phone number: 931-528-8822
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Mailing Address
MICAH VAILES
675 S JEFFERSON AVE STE C
COOKEVILLE, TN 38501-0949
Phone number:
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