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Individual

LAURA ALESSANDRA HORNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC, LAT

Contact information

Practice address
325 CHERRY AVE, MC KENZIE, TN 38201-1769
(731) 352-4000
Mailing address
1052 MAIN ST N, MC KENZIE, TN 38201-1754
(405) 255-2759

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2075
TN

Other

Enumeration date
08/16/2017
Last updated
08/16/2017
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