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1639953730
LUIS CARMONA
JOHNSON CITY, TN
NPI
1639953730
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TN 14490)
Enumeration Date
2023-08-21
Last Update Date
2024-01-18
Business Address
LUIS CARMONA
1043 JACK VEST DR
JOHNSON CITY, TN 37614
Phone number: 423-439-4044
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Mailing Address
LUIS CARMONA
1401 MERRYWOOD DR
JOHNSON CITY, TN 37604-7238
Phone number:
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