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1053529503
COREY PAUL FEDOR
ERIE, PA
NPI
1053529503
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: PA PT012994L)
Enumeration Date
2007-05-18
Last Update Date
2007-07-08
Business Address
Mr. COREY PAUL FEDOR PT
2301 EDINBORO RD
ERIE, PA 16509-3409
Phone number: 814-860-7117
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Mailing Address
Mr. COREY PAUL FEDOR PT
4826 AVELLINO DR
ERIE, PA 16510-4024
Phone number: 814-825-2174
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