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1568063519
JEREMY SCHADEWALD
FORT CAMPBELL, KY
NPI
1568063519
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2020-11-05
Last Update Date
2020-11-05
Business Address
JEREMY SCHADEWALD
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 270-798-8400
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Mailing Address
JEREMY SCHADEWALD
1150A DENT CT
FORT CAMPBELL, KY 42223-3404
Phone number: 330-388-5787
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