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Organization
WHETSTONE VALLEY STABLES LLC
Active
Organization
WHETSTONE VALLEY STABLES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PENNY JO SHOUP RN EQUINE SPECIALIST (OWNER)
(931) 215-6863
Entity
Organization
Contact information
Practice address
3368 MURPHY LN, COLUMBIA, TN 38401-5741
(931) 215-6863
(931) 381-2896
Mailing address
3370 MURPHY LN, COLUMBIA, TN 38401-5741
(931) 215-6863
(931) 381-2896
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
14516
TN
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
14516
TN
Other
Enumeration date
07/07/2015
Last updated
07/07/2015
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