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1972298404
TIMOTHY ESTRADA
JOHNSON CITY, TN
NPI
1972298404
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-04-10
Last Update Date
2023-04-10
Business Address
TIMOTHY ESTRADA
1 DOGWOOD AVE
JOHNSON CITY, TN 37614
Phone number: 423-439-6210
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Mailing Address
TIMOTHY ESTRADA
307 BANDOLINA DR
SOCORRO, TX 79927-1446
Phone number: 915-920-4053
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