THANE CASTULO WEDUM

JOHNSON CITY, TN
NPI1770293326
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-12-05
Last Update Date2022-12-05
Business Address
Dr. THANE CASTULO WEDUM DPM
809 LAMONT ST
JOHNSON CITY, TN 37604-5453
Phone number: 423-926-1171
Mailing Address
Dr. THANE CASTULO WEDUM DPM
133 BOONE RIDGE DR APT 198
JOHNSON CITY, TN 37615-5026
Phone number:
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