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Individual

ULISES URIEL LAGUNAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
500 INTERSTATE BLVD S, NASHVILLE, TN 37210-4634
(615) 750-8800
Mailing address
500 INTERSTATE BLVD S, NASHVILLE, TN 37210-4634
(615) 750-8800

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2627
TN
405300000X
Prevention Professional
2627
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
146892434
N/A
TN
Enumeration date
01/09/2023
Last updated
01/09/2023
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