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1215275177
CLINT MATTHEW ROSS
JACKSON, TN
NPI
1215275177
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN 0000005298)
Enumeration Date
2013-01-27
Last Update Date
2013-01-27
Business Address
-- CLINT MATTHEW ROSS PTA
200 BIRCH ST
JACKSON, TN 38301-6684
Phone number: 731-422-5641
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Mailing Address
-- CLINT MATTHEW ROSS PTA
2625 WILSON SCHOOL RD
HENDERSON, TN 38340-3767
Phone number: 731-435-0135
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