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1154777134
RODRICK EDELEN
FAYETTEVILLE, AR
NPI
1154777134
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2016-05-10
Last Update Date
2016-05-10
Business Address
-- RODRICK EDELEN MHPP
309 S BLOCK AVE APT 7
FAYETTEVILLE, AR 72701-6487
Phone number: 479-502-4159
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Mailing Address
-- RODRICK EDELEN MHPP
309 S BLOCK AVE APT 7
FAYETTEVILLE, AR 72701-6487
Phone number:
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