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1003440678
ZACKARY AUSTIN
HUMBOLDT, TN
NPI
1003440678
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN 7369)
Enumeration Date
2020-02-23
Last Update Date
2020-02-23
Business Address
ZACKARY AUSTIN
2865 E MAIN ST
HUMBOLDT, TN 38343-3070
Phone number: 731-784-8405
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Mailing Address
ZACKARY AUSTIN
61 RILEY CV
MEDINA, TN 38355-9812
Phone number: 731-819-1659
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