Gary Duane Pederson
Gary Duane Pederson is an Attendant Care Provider in Cleveland, Tennessee. Practices as a sole proprietor. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
111 Deer Trl NWCleveland, TN 37312-1110
Phone: (423) 331-0501
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Attendant Care Provider (primary) | Taxonomy 3747A0650X |
|---|
Record details
| NPI number | 1215581913 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 31, 2019 |
| Last updated in NPPES | July 31, 2019 |
| Mailing address | 111 Deer Trl Nw, Cleveland, TN 37312-1110 |
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Brittani P Munck
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Karen Kay Pederson
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