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1306396015
FREDRIC EDWARDS
GALLUP, NM
NPI
1306396015
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WC0400X Registered Nurse Case Management
(Licence: TX 725470)
Enumeration Date
2016-10-05
Last Update Date
2016-10-05
Business Address
FREDRIC EDWARDS RN
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1790
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Mailing Address
FREDRIC EDWARDS RN
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1790
Copy
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