NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1669717302
LIFT WELLNESS INC
101 JACKSON WALK PLAZA
JACKSON
TN
38301
1265851398
PIRTLE
CLAUDE
JOSEPH
1804 HIGHWAY 45 BYP STE 604
JACKSON
TN
383054403
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