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1417596875
LANCE EDGERTON
PETOSKEY, MI
NPI
1417596875
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MI 4704286475)
Enumeration Date
2020-01-03
Last Update Date
2020-06-16
Business Address
LANCE EDGERTON FNP-C
2390 MITCHELL PARK DR STE D
PETOSKEY, MI 49770-8965
Phone number: 231-487-7200
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Mailing Address
LANCE EDGERTON FNP-C
2390 MITCHELL PARK DR
PETOSKEY, MI 49770-8965
Phone number: 231-487-7200
Copy
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