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1104632066
DYLAN HOUSEAL
LEXINGTON, TN
NPI
1104632066
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN 8664)
Enumeration Date
2024-12-05
Last Update Date
2024-12-17
Business Address
DYLAN HOUSEAL
9550 HIGHWAY 412 W STE A
LEXINGTON, TN 38351-5850
Phone number: 731-967-3224
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Mailing Address
DYLAN HOUSEAL
257 BANCORP SOUTH PKWY
JACKSON, TN 38305-7582
Phone number: 731-660-8781
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