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1861025744
JALEN BRIDWELL
JOHNSON CITY, TN
NPI
1861025744
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TN 12704)
Enumeration Date
2020-02-19
Last Update Date
2020-02-27
Business Address
JALEN BRIDWELL
2410 SUSANNAH ST
JOHNSON CITY, TN 37601-1748
Phone number: 423-282-9011
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Mailing Address
JALEN BRIDWELL
2410 SUSANNAH ST
JOHNSON CITY, TN 37601-1748
Phone number: 423-282-9011
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