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1013966092
SIMON LOUIS EDWARDS
WHEAT RIDGE, CO
NPI
1013966092
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CO 914)
Enumeration Date
2006-05-08
Last Update Date
2007-11-09
Business Address
Mr. SIMON LOUIS EDWARDS PA-C
8300 W 38TH AVE
WHEAT RIDGE, CO 80033-6005
Phone number: 303-425-2525
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Mailing Address
Mr. SIMON LOUIS EDWARDS PA-C
126 N GREELEY AVE
JOHNSTOWN, CO 80534-8516
Phone number: 970-587-8794
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