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1770293326
THANE CASTULO WEDUM
JOHNSON CITY, TN
NPI
1770293326
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-12-05
Last Update Date
2022-12-05
Business Address
Dr. THANE CASTULO WEDUM DPM
809 LAMONT ST
JOHNSON CITY, TN 37604-5453
Phone number: 423-926-1171
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Mailing Address
Dr. THANE CASTULO WEDUM DPM
133 BOONE RIDGE DR APT 198
JOHNSON CITY, TN 37615-5026
Phone number:
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