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1861176539
NATHANIEL BISHOP
JACKSON, TN
NPI
1861176539
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN 8152)
Enumeration Date
2023-06-13
Last Update Date
2023-06-13
Business Address
NATHANIEL BISHOP PTA
101 JACKSON WALK PLZ
JACKSON, TN 38301-3008
Phone number: 731-421-6950
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Mailing Address
NATHANIEL BISHOP PTA
257 BANCORP SOUTH PKWY
JACKSON, TN 38305-7582
Phone number: 731-660-8781
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