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1215473103
ETHAN REGEN
NASHVILLE, TN
NPI
1215473103
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TN 1873)
Enumeration Date
2017-01-16
Last Update Date
2017-01-16
Business Address
Mr. ETHAN REGEN ATC
2021 CHURCH ST STE 200
NASHVILLE, TN 37203-2087
Phone number: 615-324-1600
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Mailing Address
Mr. ETHAN REGEN ATC
3907 HENRICKS HILL DR
SMYRNA, TN 37167-8368
Phone number: 615-957-2403
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