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1972559219
JORGE CASANOVA RIESTRA
CLARKSVILLE, TN
NPI
1972559219
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: TN MD 019425)
Enumeration Date
2006-05-26
Last Update Date
2013-08-15
Business Address
DR. JORGE CASANOVA RIESTRA
105 USSERY RD
CLARKSVILLE, TN 37043-4530
Phone number: 931-647-7321
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Mailing Address
DR. JORGE CASANOVA RIESTRA
105 USSERY RD
CLARKSVILLE, TN 37043-4530
Phone number: 931-647-7321
Copy
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