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Individual

WENDY D EATON

Active
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Individual

WENDY D EATON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CFTS

Taxonomy

Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
CFTS1106

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000973794C
GA
05
000973794D
GA
05
000973794E
GA
05
1455062
TN
05
1507472
TN
Enumeration date
11/29/2010
Last updated
11/29/2010
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