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1720434376
EDIBERTO BARRERA III
LEBANON, TN
NPI
1720434376
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TN 10730)
Enumeration Date
2016-05-12
Last Update Date
2016-05-12
Business Address
EDIBERTO BARRERA III
404 N CASTLE HEIGHTS AVE SUITE G
LEBANON, TN 37087-1511
Phone number: 615-443-4938
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Mailing Address
EDIBERTO BARRERA III
PO BOX 681478
FRANKLIN, TN 37068-1478
Phone number: 615-591-6590
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