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1740566603
JOHN RANDOLPH IBANEZ
NASHVILLE, TN
NPI
1740566603
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2011-10-24
Last Update Date
2011-10-24
Business Address
JOHN RANDOLPH IBANEZ
1921 RANSOM PL
NASHVILLE, TN 37217-3841
Phone number: 615-279-6700
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Mailing Address
JOHN RANDOLPH IBANEZ
2843 WELLINGTON PL
MURFREESBORO, TN 37128-4854
Phone number: 615-494-9988
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