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Individual

GINA RAWLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
5525 CREOLE WAY, MOUNT JULIET, TN 37122-8806
(615) 516-2479
Mailing address
5525 CREOLE WAY, MOUNT JULIET, TN 37122-8806
(615) 516-2479

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
3869
TN

Other

Enumeration date
12/26/2011
Last updated
12/26/2011
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