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1720300700
KEVIN BISHOP
CLINTON, TN
NPI
1720300700
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN PTA0000000373)
Enumeration Date
2010-02-18
Last Update Date
2010-02-18
Business Address
-- KEVIN BISHOP
1115 N CHARLES G SEIVERS BLVD SUITE 22
CLINTON, TN 37716-3946
Phone number: 865-766-5194
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Mailing Address
-- KEVIN BISHOP
1115 N CHARLES G SEIVERS BLVD SUITE 22
CLINTON, TN 37716-3946
Phone number: 865-766-5194
Copy
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