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1215486212
THOMAS MATLOCK
ATHENS, TN
NPI
1215486212
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN 4639)
Enumeration Date
2016-10-02
Last Update Date
2016-10-02
Business Address
-- THOMAS MATLOCK
1204 FRYE ST
ATHENS, TN 37303-3052
Phone number: 423-745-0434
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Mailing Address
-- THOMAS MATLOCK
1204 FRYE ST
ATHENS, TN 37303-3052
Phone number:
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