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1548932262
JEREMY FOSSUM
DOTHAN, AL
NPI
1548932262
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2021-09-30
Last Update Date
2021-09-30
Business Address
JEREMY FOSSUM DPT
512 N SHADY LN
DOTHAN, AL 36303-2991
Phone number: 334-699-5747
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Mailing Address
JEREMY FOSSUM DPT
700 FARM CREEK RD APT 245
ENTERPRISE, AL 36330-9067
Phone number: 402-957-7243
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