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1407211378
CLINTON SIMPLOT
FORT CAMPBELL, KY
NPI
1407211378
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TN 10407)
Enumeration Date
2015-12-21
Last Update Date
2024-10-08
Business Address
CLINTON SIMPLOT DPT
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 270-798-8953
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Mailing Address
CLINTON SIMPLOT DPT
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number:
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