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1134947450
IRIS DANIELA SORTO FUENTES
ELIZABETHTON, TN
NPI
1134947450
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN 7412)
Enumeration Date
2024-09-26
Last Update Date
2024-09-26
Business Address
IRIS DANIELA SORTO FUENTES
1666 HILLVIEW DR
ELIZABETHTON, TN 37643-4116
Phone number: 423-542-5061
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Mailing Address
IRIS DANIELA SORTO FUENTES
2609 OAKCREST DR
MORRISTOWN, TN 37814-6358
Phone number: 423-200-8663
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