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1285788018
FRED EDWARDS III
BUCKEYE, AZ
NPI
1285788018
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
373H00000X Day Training/Habilitation Specialist
(Licence: AZ 10294)
Enumeration Date
2007-01-22
Last Update Date
2007-07-09
Business Address
-- FRED EDWARDS III
23343 W ASHLEIGH MARIE DR
BUCKEYE, AZ 85326-6290
Phone number: 619-871-4401
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Mailing Address
-- FRED EDWARDS III
23343 W ASHLEIGH MARIE DR
BUCKEYE, AZ 85326-6290
Phone number: 619-871-4401
Copy
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