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1154407427
EDMUND LANE
DAYTON, TN
NPI
1154407427
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: TN 011582)
Enumeration Date
2006-10-31
Last Update Date
2007-11-16
Business Address
-- EDMUND LANE MD
9400 RHEA COUNTY HWY
DAYTON, TN 37321-7922
Phone number: 423-775-1121
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Mailing Address
-- EDMUND LANE MD
PO BOX 636019
CINCINNATI, OH 45263-6019
Phone number:
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