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1972067064
JAYNE ANDREA HALLOCK
CLARKSVILLE, TN
NPI
1972067064
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TN 3177)
Enumeration Date
2019-01-23
Last Update Date
2019-01-23
Business Address
JAYNE ANDREA HALLOCK COTA/L
298 WARFIELD BLVD APT C
CLARKSVILLE, TN 37043-1896
Phone number: 931-906-0440
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Mailing Address
JAYNE ANDREA HALLOCK COTA/L
298 WARFIELD BLVD APT C
CLARKSVILLE, TN 37043-1896
Phone number: 931-906-0440
Copy
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