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Individual

SHARON D BAINES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MT

Contact information

Practice address
3915 BRISTOL HWY, SUITE 301, JOHNSON CITY, TN 37601-1400
(423) 262-0020
(423) 262-0057
Mailing address
3915 BRISTOL HWY, SUITE 301, JOHNSON CITY, TN 37601-1400
(423) 262-0020
(423) 262-0057

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0000005168
TN

Other

Enumeration date
03/27/2009
Last updated
03/27/2009
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