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1720122039
FRED ELMENDORF
CHATTANOOGA, TN
NPI
1720122039
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: TN 35884)
Enumeration Date
2007-02-19
Last Update Date
2007-07-08
Business Address
FRED ELMENDORF R.N.
413 SPRING ST
CHATTANOOGA, TN 37405-3848
Phone number: 423-756-2740
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Mailing Address
FRED ELMENDORF R.N.
4913 ORCHARD DR
APISON, TN 37302-9523
Phone number:
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