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Individual
FAY WENDELL WITCHER II
Active
Individual
FAY WENDELL WITCHER II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRT, RPSGT
Taxonomy
Speciality
Code
Description
License number
State
2278G1100X
General Care Certified Respiratory Therapist
Primary
CRT0000003166
TN
Other
Enumeration date
05/18/2009
Last updated
05/18/2009
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