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1578111373
IVAN MANUEL TINOCO MARTIN
MEMPHIS, TN
NPI
1578111373
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-08-27
Last Update Date
2019-08-27
Business Address
IVAN MANUEL TINOCO MARTIN MD
262 DANNY THOMAS PL
MEMPHIS, TN 38105-3678
Phone number: 901-595-5801
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Mailing Address
IVAN MANUEL TINOCO MARTIN MD
262 DANNY THOMAS PL
MEMPHIS, TN 38105-3678
Phone number: 901-595-5801
Copy
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