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1962628578
JOHN MITCHELL STARK
GERMANTOWN, TN
NPI
1962628578
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN pta0000002893)
Enumeration Date
2007-04-18
Last Update Date
2007-07-08
Business Address
Mr. JOHN MITCHELL STARK PTA
2100 EXETER RD
GERMANTOWN, TN 38138-3922
Phone number: 901-757-1350
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Mailing Address
Mr. JOHN MITCHELL STARK PTA
344 HOMEVILLE RD
COLLIERVILLE, TN 38017-2310
Phone number: 901-647-5236
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