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1447759592
DARRELL DEWAIN EDWARDS
SPRINGFIELD, MO
NPI
1447759592
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MO 2018002812)
Enumeration Date
2018-02-05
Last Update Date
2018-02-05
Business Address
DARRELL DEWAIN EDWARDS
4350 S NATIONAL AVE STE C200
SPRINGFIELD, MO 65810-2782
Phone number: 417-447-1000
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Mailing Address
DARRELL DEWAIN EDWARDS
4350 S NATIONAL AVE STE C200
SPRINGFIELD, MO 65810-2782
Phone number: 417-447-1000
Copy
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