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1699294462
ETHAN COLE BALDOCK
MEMPHIS, TN
NPI
1699294462
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN 6559)
Enumeration Date
2017-09-13
Last Update Date
2017-09-13
Business Address
ETHAN COLE BALDOCK PTA
1789 KIRBY PKWY STE 3
MEMPHIS, TN 38138-3657
Phone number: 901-759-1282
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Mailing Address
ETHAN COLE BALDOCK PTA
1789 KIRBY PKWY STE 3
MEMPHIS, TN 38138-3657
Phone number: 901-759-1282
Copy
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