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1306250634
JACQUELYN LAUREN EDWARDS
DETROIT, MI
NPI
1306250634
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601006985)
Enumeration Date
2014-06-14
Last Update Date
2024-09-19
Business Address
Ms. JACQUELYN LAUREN EDWARDS
2799 W GRAND BLVD
DETROIT, MI 48202-2608
Phone number: 800-436-7936
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Mailing Address
Ms. JACQUELYN LAUREN EDWARDS
2799 W GRAND BLVD
DETROIT, MI 48202-2689
Phone number: 800-678-1861
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