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1164197406
BLAKE EDWARDS
INDEPENDENCE, MO
NPI
1164197406
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: MO 2021031365)
Enumeration Date
2021-08-10
Last Update Date
2021-08-10
Business Address
BLAKE EDWARDS PT, DPT
3801 SELSA RD STE 7
INDEPENDENCE, MO 64057-1712
Phone number: 816-795-0434
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Mailing Address
BLAKE EDWARDS PT, DPT
3801 SELSA RD STE 7
INDEPENDENCE, MO 64057-1712
Phone number:
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