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1629502968
EARL ROBERTSON
MEMPHIS, TN
NPI
1629502968
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224P00000X Prosthetist
(Licence: TN LP 49)
Additional Taxonomies
222Z00000X Orthotist
(Licence: TN LO 58)
Enumeration Date
2017-04-13
Last Update Date
2017-04-13
Business Address
Mr. EARL ROBERTSON CP, LPO
722 N WHITE STATION RD
MEMPHIS, TN 38122-4422
Phone number: 901-763-6999
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Mailing Address
Mr. EARL ROBERTSON CP, LPO
722 N WHITE STATION RD
MEMPHIS, TN 38122-4422
Phone number: 901-763-6999
Copy
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