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1063404804
EDITH ELAINE WEATHERFORD
MARQUETTE, MI
NPI
1063404804
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: MI 4704161015)
Enumeration Date
2005-08-18
Last Update Date
2007-07-08
Business Address
-- EDITH ELAINE WEATHERFORD CPNP
1414 W FAIR AVE #226
MARQUETTE, MI 49855-2675
Phone number: 906-225-3925
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Mailing Address
-- EDITH ELAINE WEATHERFORD CPNP
1414 W FAIR AVE #226
MARQUETTE, MI 49855-2675
Phone number: 906-225-3925
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