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1912075664
TIM EDWARD LANDER
GADSDEN, AL
NPI
1912075664
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: AL 2412)
Enumeration Date
2006-12-01
Last Update Date
2007-07-08
Business Address
-- TIM EDWARD LANDER
1514 OWENS ST
GADSDEN, AL 35904-4938
Phone number: 256-543-1030
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Mailing Address
-- TIM EDWARD LANDER
1514 OWENS ST
GADSDEN, AL 35904-4938
Phone number: 256-543-1030
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