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1104362094
GINA UPTON
JACKSON, TN
NPI
1104362094
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN 1984)
Enumeration Date
2017-01-16
Last Update Date
2017-01-16
Business Address
-- GINA UPTON
101 JACKSON WALK PLZ
JACKSON, TN 38301-3008
Phone number: 731-421-6950
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Mailing Address
-- GINA UPTON
101 JACKSON WALK PLZ
JACKSON, TN 38301-3008
Phone number: 731-421-6950
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