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1801410048
ETHAN JOSEPH POTEET
MEMPHIS, TN
NPI
1801410048
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TN 12776)
Enumeration Date
2020-06-03
Last Update Date
2021-07-19
Business Address
ETHAN JOSEPH POTEET
3096 POPLAR AVE
MEMPHIS, TN 38111-3532
Phone number: 901-203-6366
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Mailing Address
ETHAN JOSEPH POTEET
PO BOX 306393
NASHVILLE, TN 37230-6393
Phone number: 615-373-1350
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