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1487778940
KEVIN MICHAEL SMALL
JACKSON, TN
NPI
1487778940
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN PTA2238)
Enumeration Date
2007-03-19
Last Update Date
2007-07-08
Business Address
MR. KEVIN MICHAEL SMALL P.T.A.
45 FOREST CV FOREST COVE MANOR
JACKSON, TN 38301-4366
Phone number: 731-424-4200
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Mailing Address
MR. KEVIN MICHAEL SMALL P.T.A.
1026 MOORE ST
MILAN, TN 38358-2608
Phone number: 731-723-5617
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