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Individual

CALEB DANIEL FEDERSPIEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
FP-C

Contact information

Practice address
1594 COBRA LN, CLARKSVILLE, TN 37042-0706
(910) 494-0775
Mailing address
1594 COBRA LN, CLARKSVILLE, TN 37042-0706
(910) 494-0775

Taxonomy

Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
KY

Other

Enumeration date
10/24/2025
Last updated
10/24/2025
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