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1386773489
JOSE PENARANDA TAN
MORRISTOWN, TN
NPI
1386773489
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: TN OT00573)
Enumeration Date
2007-03-05
Last Update Date
2007-07-08
Business Address
Mr. JOSE PENARANDA TAN
5250 W. ANDREW JOHNSON. HWY.
MORRISTOWN, TN 37814-1027
Phone number: 423-318-7800
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Mailing Address
Mr. JOSE PENARANDA TAN
5250 W. ANDREW JOHNSON HIGHWAY
MORRISTOWN, TN 37814-1027
Phone number: 423-318-7800
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