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1699103804
NICHOLAS PETER FEDOR
KNOXVILLE, TN
NPI
1699103804
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: 2427)
Enumeration Date
2013-10-24
Last Update Date
2013-10-24
Business Address
NICHOLAS PETER FEDOR PA-C
10820 PARKSIDE DR EMERGENCY DEPT.
KNOXVILLE, TN 37934-1956
Phone number: 865-988-3666
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Mailing Address
NICHOLAS PETER FEDOR PA-C
PO BOX 1008
LENOIR CITY, TN 37771-1008
Phone number: 865-988-3666
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