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1871012864
ADAM GERARD FEDEWA
MURFREESBORO, TN
NPI
1871012864
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN 6661)
Enumeration Date
2017-09-12
Last Update Date
2017-09-12
Business Address
ADAM GERARD FEDEWA
1207WOODS EDGE DR
MURFREESBORO, TN 37130
Phone number: 989-980-4857
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Mailing Address
ADAM GERARD FEDEWA
1207 WOODS EDGE DR
MURFREESBORO, TN 37130-3165
Phone number:
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