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1912054495
STEPHANIE BATES
JACKSON, TN
NPI
1912054495
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TN 6670)
Enumeration Date
2007-01-05
Last Update Date
2007-07-08
Business Address
STEPHANIE BATES PT
65 B NORTHSTAR DRIVE
JACKSON, TN 38305
Phone number: 731-661-9542
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Mailing Address
STEPHANIE BATES PT
17 BARKSDALE CV
JACKSON, TN 38305-6417
Phone number: 731-664-8612
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