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Individual

THERICA TAMEICA BOGGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3164 TIMBERDALE DR, CLARKSVILLE, TN 37042-8785
(407) 403-4819
Mailing address
3164 TIMBERDALE DR, CLARKSVILLE, TN 37042-8785
(407) 403-4819

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13612
TN

Other

Enumeration date
08/26/2021
Last updated
08/26/2021
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