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1215330816
JASON MILLER
COOKEVILLE, TN
NPI
1215330816
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN 5789)
Enumeration Date
2014-09-27
Last Update Date
2014-09-27
Business Address
-- JASON MILLER PTA
815 S WALNUT AVE
COOKEVILLE, TN 38501-5956
Phone number: 931-528-5516
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Mailing Address
-- JASON MILLER PTA
345 LASSITER RD
SMITHVILLE, TN 37166-6097
Phone number: 615-464-7453
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