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Individual

MS. THERESE ELIZABETH SPARN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, ATC

Contact information

Practice address
151 RICHVIEW RD, CLARKSVILLE, TN 37043-4723
(931) 645-1961
(931) 645-1961
Mailing address
2190 MEMORIAL DR APT A23, PO BOX 3574, CLARKSVILLE, TN 37043-4790
(931) 645-1961
(931) 645-1961

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
50
TN

Other

Enumeration date
07/21/2006
Last updated
07/08/2007
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