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1821618869
LUIS DARIEL RODAS
CHATTANOOGA, TN
NPI
1821618869
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TN 2329)
Enumeration Date
2020-04-20
Last Update Date
2020-04-20
Business Address
LUIS DARIEL RODAS ATC
4650 BUCCANEER TRL
CHATTANOOGA, TN 37411-1247
Phone number: 617-742-3622
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Mailing Address
LUIS DARIEL RODAS ATC
6220 SHALLOWFORD RD APT 519
CHATTANOOGA, TN 37421-6906
Phone number: 615-482-4470
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