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1720462179
NATHAN MARTIN
DECATUR, AL
NPI
1720462179
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AL PTA7508)
Enumeration Date
2015-07-15
Last Update Date
2015-07-15
Business Address
-- NATHAN MARTIN
1350 14TH AVE SE
DECATUR, AL 35601-4364
Phone number: 256-355-6911
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Mailing Address
-- NATHAN MARTIN
2416 JARVIS ST SW
DECATUR, AL 35603-2689
Phone number: 865-406-8405
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