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1699322453
NICHOLAS THOMAS BETTS
SOUTHAVEN, MS
NPI
1699322453
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MS 6783)
Enumeration Date
2019-08-26
Last Update Date
2019-08-26
Business Address
NICHOLAS THOMAS BETTS
7900 AIRWAYS BLVD BLDG A
SOUTHAVEN, MS 38671-4113
Phone number: 662-536-4096
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Mailing Address
NICHOLAS THOMAS BETTS
4993 LYNBAR AVE
MEMPHIS, TN 38117-2029
Phone number:
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