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Individual

DR. GERALD LEE TENNERY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
590 N COUNTY ROAD 900 E, AVON, IN 46123-5447
(317) 271-6086
Mailing address
590 N CO RD 900 E, AVON, IN 46123-5447
(317) 217-6086

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
564
IN

Other

Enumeration date
05/22/2008
Last updated
05/22/2008
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