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1518911213
JOSE CHUCLK PRADA
HERMITAGE, TN
NPI
1518911213
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TN 2112)
Enumeration Date
2006-05-19
Last Update Date
2007-07-08
Business Address
-- JOSE CHUCLK PRADA BSPT
5653 FRIST BLVD 731
HERMITAGE, TN 37076
Phone number: 615-885-9591
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Mailing Address
-- JOSE CHUCLK PRADA BSPT
PO BOX 681478
FRANKLIN, TN 37068-1478
Phone number: 866-800-9147
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