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1003414293
JACK WEAIR WOOTEN
NASHVILLE, TN
NPI
1003414293
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: TN 2212)
Enumeration Date
2020-10-12
Last Update Date
2020-10-12
Business Address
JACK WEAIR WOOTEN
2612 W HEIMAN ST APT D38
NASHVILLE, TN 37208-1818
Phone number: 615-686-5212
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Mailing Address
JACK WEAIR WOOTEN
2612 W HEIMAN ST APT D38
NASHVILLE, TN 37208-1818
Phone number: 615-686-5212
Copy
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