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1457489205
ELIZABETH A. EDWARDS
MILWAUKEE, WI
NPI
1457489205
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Former Name
ELIZABETH A. BAGBY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 2098)
Enumeration Date
2007-03-02
Last Update Date
2007-07-08
Business Address
Ms. ELIZABETH A. EDWARDS PA-C
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226-3522
Phone number: 414-805-3666
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Mailing Address
Ms. ELIZABETH A. EDWARDS PA-C
10000 W INNOVATION DR
MILWAUKEE, WI 53226-4837
Phone number: 414-456-5006
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