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1528344439
IRA CANADA
CHATTANOOGA, TN
NPI
1528344439
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: TN 000549759)
Enumeration Date
2011-10-25
Last Update Date
2011-10-25
Business Address
DR. IRA CANADA E.D.D
1510 ANDERSON AVE
CHATTANOOGA, TN 37404-4204
Phone number: 678-862-2178
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Mailing Address
DR. IRA CANADA E.D.D
1510 ANDERSON AVE
CHATTANOOGA, TN 37404-4204
Phone number: 678-862-2178
Copy
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