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1164264396
ETHAN JAMES UNDERWOOD
BRENTWOOD, TN
NPI
1164264396
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
246ZE0600X Specialist/Technologist, Other Electroneurodiagnostic
Enumeration Date
2024-06-10
Last Update Date
2024-06-10
Business Address
ETHAN JAMES UNDERWOOD
3 MARYLAND FARMS STE 200
BRENTWOOD, TN 37027-5780
Phone number: 800-348-4565
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Mailing Address
ETHAN JAMES UNDERWOOD
3 MARYLAND FARMS STE 200
BRENTWOOD, TN 37027-5780
Phone number: 800-348-4565
Copy
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