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1538624432
EDWARD MEDINA
MONTROSE, CO
NPI
1538624432
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CO 0994430)
Enumeration Date
2019-02-05
Last Update Date
2019-02-05
Business Address
Mr. EDWARD MEDINA FNP
816 S 5TH ST STE B
MONTROSE, CO 81401-5765
Phone number: 970-249-3322
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Mailing Address
Mr. EDWARD MEDINA FNP
300 S NEVADA AVE
MONTROSE, CO 81401-4273
Phone number: 970-249-7751
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