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1992207781
JAPHET DANIEL RODRIGUEZ
FORT CAMPBELL, KY
NPI
1992207781
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: 11491111)
Enumeration Date
2018-03-07
Last Update Date
2018-03-07
Business Address
JAPHET DANIEL RODRIGUEZ PA-C
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 270-798-8400
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Mailing Address
JAPHET DANIEL RODRIGUEZ PA-C
3568 SMITH BROTHERS LN
CLARKSVILLE, TN 37043-6872
Phone number: 360-970-2736
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