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1952641490
JORGE LUIS ROMAN
KNOXVILLE, TN
NPI
1952641490
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2013-02-20
Last Update Date
2013-03-18
Business Address
-- JORGE LUIS ROMAN MS
813 S NORTHSHORE DR SUITE 105
KNOXVILLE, TN 37919-7594
Phone number: 865-584-4005
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Mailing Address
-- JORGE LUIS ROMAN MS
PO BOX 10372
KNOXVILLE, TN 37939-0372
Phone number: 865-584-4005
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