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1538554654
JASE BLAKNEY
JACKSON, TN
NPI
1538554654
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN 5433)
Enumeration Date
2015-04-06
Last Update Date
2015-04-06
Business Address
-- JASE BLAKNEY PTA
118 DEVONSHIRE SQ STE 7
JACKSON, TN 38305-2267
Phone number: 731-660-6902
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Mailing Address
-- JASE BLAKNEY PTA
2071 STAGE RD
SCOTTS HILL, TN 38374-5057
Phone number:
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