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1023644747
JUSTIN PERRY
HUMBOLDT, TN
NPI
1023644747
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN 0000007371)
Enumeration Date
2020-03-13
Last Update Date
2020-03-13
Business Address
JUSTIN PERRY
2865 E MAIN ST
HUMBOLDT, TN 38343
Phone number: 731-784-8405
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Mailing Address
JUSTIN PERRY
246 CHERRYVILLE ROAD
BELLS, TN 38006
Phone number: 731-307-6020
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