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1174148340
SANDRA EDWARDS
OWENSBORO, KY
NPI
1174148340
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: KY 3014693)
Enumeration Date
2020-06-12
Last Update Date
2020-10-15
Business Address
SANDRA EDWARDS
920 FREDERICA ST STE 204
OWENSBORO, KY 42301-3077
Phone number: 270-574-5600
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Mailing Address
SANDRA EDWARDS
PO BOX 22619
OWENSBORO, KY 42303
Phone number: 270-574-5600
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