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1942694310
EVAN CORWYN EAST
JACKSON, TN
NPI
1942694310
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN PTA0000005722)
Enumeration Date
2015-03-24
Last Update Date
2015-03-24
Business Address
-- EVAN CORWYN EAST PTA
670 SKYLINE DR
JACKSON, TN 38301-3934
Phone number: 731-300-4800
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Mailing Address
-- EVAN CORWYN EAST PTA
670 SKYLINE DR
JACKSON, TN 38301-3934
Phone number: 731-300-4800
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