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1023091253
THOMAS G EDWARDS
FORT WAYNE, IN
NPI
1023091253
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: IN 10000133)
Enumeration Date
2005-11-22
Last Update Date
2013-11-13
Business Address
Mr. THOMAS G EDWARDS PA-C
2200 RANDALLIA DR
FORT WAYNE, IN 46805-4638
Phone number: 260-373-4000
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Mailing Address
Mr. THOMAS G EDWARDS PA-C
3640 NEW VISION DRIVE SUITE A
FORT WAYNE, IN 46845-1717
Phone number: 260-482-4440
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