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1023085008
EDWIN RAY LASHLEY
N. CHARLESTON, SC
NPI
1023085008
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
1710I1002X Military Health Care Provider Independent Duty Corpsman
Enumeration Date
2006-03-08
Last Update Date
2007-07-08
Business Address
EDWIN RAY LASHLEY IDC
NAVAL HOSPITAL 3600 RIVERS AVE
N. CHARLESTON, SC 29405
Phone number: 843-743-7214
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Mailing Address
EDWIN RAY LASHLEY IDC
34 PULASKI ST
GOOSE CREEK, SC 29445-6153
Phone number: 843-209-6949
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