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1346530284
SAMUEL WALTON FAIRBROTHER
NASHVILLE, TN
NPI
1346530284
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: TN 56941)
Enumeration Date
2011-04-12
Last Update Date
2021-03-03
Business Address
SAMUEL WALTON FAIRBROTHER
210 25TH AVE N STE 1204
NASHVILLE, TN 37203-1620
Phone number: 615-312-0600
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Mailing Address
SAMUEL WALTON FAIRBROTHER
210 25TH AVE N STE 1204
NASHVILLE, TN 37203-1620
Phone number: 615-312-0600
Copy
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