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1326427758
THEODORE HENRY BARTOSHESKY
OLD HICKORY, TN
NPI
1326427758
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
314000000X Skilled Nursing Facility
(Licence: TN Pta0000005846)
Enumeration Date
2015-05-19
Last Update Date
2015-05-19
Business Address
Mr. THEODORE HENRY BARTOSHESKY PTA
1971 DUNEDIN DR
OLD HICKORY, TN 37138-4633
Phone number: 302-507-4873
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Mailing Address
Mr. THEODORE HENRY BARTOSHESKY PTA
1971 DUNEDIN DR
OLD HICKORY, TN 37138-4633
Phone number: 302-507-4873
Copy
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