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1992133771
LAUREN COPELAND
KINGSTON, TN
NPI
1992133771
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN 6640)
Enumeration Date
2013-10-14
Last Update Date
2013-10-14
Business Address
LAUREN COPELAND PTA
629 GALLAHER RD
KINGSTON, TN 37763-4215
Phone number: 865-376-3416
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Mailing Address
LAUREN COPELAND PTA
629 GALLAHER RD
KINGSTON, TN 37763-4215
Phone number: 865-376-3416
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