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1023048386
JOSEFINA L PENA
JACKSON, TN
NPI
1023048386
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TN 4307)
Enumeration Date
2006-07-03
Last Update Date
2009-07-17
Business Address
JOSEFINA L PENA PT
544 ROLAND AVE
JACKSON, TN 38301-4302
Phone number: 731-421-6950
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Mailing Address
JOSEFINA L PENA PT
1804 HIGHWAY 45 BYP STE 604
JACKSON, TN 38305-4436
Phone number: 731-660-8759
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