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1194716241
CLYDE RICHARD EDWARDS
WAKE FOREST, NC
NPI
1194716241
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 102843)
Enumeration Date
2005-10-28
Last Update Date
2013-09-25
Business Address
Mr. CLYDE RICHARD EDWARDS PA-C
1655 WAKE DR SUITE 101
WAKE FOREST, NC 27587-4745
Phone number: 919-556-4779
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Mailing Address
Mr. CLYDE RICHARD EDWARDS PA-C
1655 WAKE DR SUITE 101
WAKE FOREST, NC 27587-4745
Phone number: 919-556-4779
Copy
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