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1154391977
JOSE CALIXTO DE LA PENA
MILLINGTON, TN
NPI
1154391977
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TN 00053436)
Enumeration Date
2006-01-24
Last Update Date
2022-07-21
Business Address
Dr. JOSE CALIXTO DE LA PENA MD
5722 INTERGRITY DR. BLGD S771 (NBHC MIDSOUTH
MILLINGTON, TN 38054
Phone number: 901-874-6143
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Mailing Address
Dr. JOSE CALIXTO DE LA PENA MD
4566 NOB HILL DR.
ARLINGTON, TN 38002-5150
Phone number: 901-249-7356
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