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1194224998
STEPHEN BLAKE FELDHAUS
SHELBYVILLE, TN
NPI
1194224998
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 23841)
Enumeration Date
2018-02-07
Last Update Date
2018-02-07
Business Address
STEPHEN BLAKE FELDHAUS APN, NP-C
112 AIRPORT BUSINESS PARK RD STE H
SHELBYVILLE, TN 37160
Phone number: 931-680-6360
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Mailing Address
STEPHEN BLAKE FELDHAUS APN, NP-C
302 FAIRLANE DR
SHELBYVILLE, TN 37160-2228
Phone number: 931-619-6055
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