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1548227366
ROSS E MALDONADO
DYERSBURG, TN
NPI
1548227366
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TN 5830)
Enumeration Date
2006-04-26
Last Update Date
2007-07-08
Business Address
-- ROSS E MALDONADO PT
620 MALL BLVD B1
DYERSBURG, TN 38024
Phone number: 731-285-5552
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Mailing Address
-- ROSS E MALDONADO PT
PO BOX 681478
FRANKLIN, TN 37068-1478
Phone number: 866-800-9147
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