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1245757749
YNGWIE W EDEEN
OVIEDO, FL
NPI
1245757749
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL 37377)
Enumeration Date
2017-08-25
Last Update Date
2021-11-26
Business Address
Dr. YNGWIE W EDEEN
7400 RED BUG LAKE RD
OVIEDO, FL 32765-7154
Phone number: 407-971-2776
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Mailing Address
Dr. YNGWIE W EDEEN
336 BROAD ST # 203
ROME, GA 30161-3006
Phone number: 407-971-2774
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