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1013944602
JOSE VILLANUEVA
JOHNSON CITY, TN
NPI
1013944602
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: TN 000002402)
Enumeration Date
2006-06-27
Last Update Date
2007-07-08
Business Address
-- JOSE VILLANUEVA PT
101 MED TECH PKWY SUITE 200
JOHNSON CITY, TN 37604-4007
Phone number: 423-232-6120
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Mailing Address
-- JOSE VILLANUEVA PT
101 MED TECH PKWY SUITE 200
JOHNSON CITY, TN 37604-4007
Phone number: 423-232-6120
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