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1992376248
JACK DALLAS ATCHISON
GREENSBORO, NC
NPI
1992376248
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NC A5265)
Enumeration Date
2021-07-08
Last Update Date
2021-07-08
Business Address
JACK DALLAS ATCHISON
1111 PENDER LN
GREENSBORO, NC 27408-6817
Phone number: 336-255-0947
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Mailing Address
JACK DALLAS ATCHISON
1111 PENDER LN
GREENSBORO, NC 27408-6817
Phone number: 336-255-0947
Copy
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