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1962571554
KRISTI DAWN MASON DAVENPORT
MANCHESTER, TN
NPI
1962571554
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN 3883)
Enumeration Date
2006-11-07
Last Update Date
2009-01-26
Business Address
Mrs. KRISTI DAWN MASON DAVENPORT PTA
585 INTERSTATE DR
MANCHESTER, TN 37355-3190
Phone number: 931-723-7159
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Mailing Address
Mrs. KRISTI DAWN MASON DAVENPORT PTA
213 CUNNINGHAM FORD RD
ROCK ISLAND, TN 38581-3032
Phone number:
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