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1518054295
GWENDOLYN ANN EDMONDSON
FORT WAYNE, IN
NPI
1518054295
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: IN 12008899)
Enumeration Date
2006-10-06
Last Update Date
2007-07-08
Business Address
Dr. GWENDOLYN ANN EDMONDSON D.D.S.
6221 COVINGTON RD
FORT WAYNE, IN 46804-7311
Phone number: 260-432-4329
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Mailing Address
Dr. GWENDOLYN ANN EDMONDSON D.D.S.
6221 COVINGTON RD
FORT WAYNE, IN 46804-7311
Phone number: 260-432-4329
Copy
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