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Individual

CAROL ANN WADELAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1001 W CYPRESS CREEK RD STE 120, FORT LAUDERDALE, FL 33309-1947
(508) 561-7284
(508) 561-7284
Mailing address
2935 NW 2ND AVE, POMPANO BEACH, FL 33064-3703
(508) 561-7284

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary

Other

Enumeration date
11/13/2017
Last updated
11/13/2017
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