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1629579685
JUSTIN EIDSMOE
DECATUR, AL
NPI
1629579685
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AL PTH8822)
Enumeration Date
2018-02-26
Last Update Date
2019-10-04
Business Address
JUSTIN EIDSMOE DPT
1241 PT MALLARD PKWY STE 201
DECATUR, AL 35601-6555
Phone number: 256-350-9750
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Mailing Address
JUSTIN EIDSMOE DPT
800 CRESCENT CENTRE DR STE 300
FRANKLIN, TN 37067-7285
Phone number: 615-416-0199
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