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1790106060
NATHAN ALLEN KOENEGSTEIN
JACKSON, TN
NPI
1790106060
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: TN OT0000004821)
Enumeration Date
2014-01-03
Last Update Date
2014-01-03
Business Address
MR. NATHAN ALLEN KOENEGSTEIN OTR/L
597 W FOREST AVE
JACKSON, TN 38301-3935
Phone number: 731-300-4800
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Mailing Address
MR. NATHAN ALLEN KOENEGSTEIN OTR/L
23 GIDEON CV
JACKSON, TN 38305-6936
Phone number: 618-214-3058
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