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1609313782
NICHOLAS PETERSON
LEXINGTON, TN
NPI
1609313782
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN 4780)
Enumeration Date
2017-01-26
Last Update Date
2017-01-26
Business Address
NICHOLAS PETERSON
9550 HIGHWAY 412 W
LEXINGTON, TN 38351-5849
Phone number: 731-967-3224
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Mailing Address
NICHOLAS PETERSON
9550 HIGHWAY 412 W
LEXINGTON, TN 38351-5849
Phone number: 731-967-3224
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