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1316039498
THEODORE A WAFLART
JASPER, IN
NPI
1316039498
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207PS0010X Emergency Medicine, Sports Medicine
(Licence: IN 01027456A)
Enumeration Date
2006-09-28
Last Update Date
2010-06-23
Business Address
-- THEODORE A WAFLART M.D.
800 W 9TH ST
JASPER, IN 47546-2514
Phone number: 812-481-5750
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Mailing Address
-- THEODORE A WAFLART M.D.
PO BOX 1028
JASPER, IN 47547-1028
Phone number: 812-481-8493
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