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Mary Ittner
NPI 1750571261 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1002 Hillshire Dr
Clarksville, TN 37043 - Phone
- (605) 254-2678
Registry record
- Primary taxonomy
- 286500000X
286500000X
- Licence states on file
- SD
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2009-09-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee