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1386902971
DOUGLAS EDEMA
JOHNSON CITY, TN
NPI
1386902971
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TN MD0000047134)
Enumeration Date
2012-05-02
Last Update Date
2012-05-02
Business Address
-- DOUGLAS EDEMA
1021 W OAKLAND AVE SUITE 207
JOHNSON CITY, TN 37604-2191
Phone number: 423-915-5116
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Mailing Address
-- DOUGLAS EDEMA
1021 W OAKLAND AVE SUITE 207
JOHNSON CITY, TN 37604-2191
Phone number: 423-915-5116
Copy
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