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1164811394
LAQUITA EDWARDS
MILWAUKEE, WI
NPI
1164811394
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 4619-23)
Enumeration Date
2015-01-12
Last Update Date
2024-07-03
Business Address
LAQUITA EDWARDS PA
2555 N DR MARTIN LUTHER KING DR
MILWAUKEE, WI 53212-2709
Phone number: 414-372-8080
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Mailing Address
LAQUITA EDWARDS PA
2555 N DR MARTIN LUTHER KING JR DR
MILWAUKEE, WI 53212-2709
Phone number: 414-372-8080
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