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1609107846
JUSTIN R EDMONDSON
MOBILE, AL
NPI
1609107846
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: AL PA.671)
Enumeration Date
2010-01-28
Last Update Date
2010-01-28
Business Address
-- JUSTIN R EDMONDSON
2350 SCHILLINGER RD S SUITE A
MOBILE, AL 36695-4177
Phone number: 251-633-0123
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Mailing Address
-- JUSTIN R EDMONDSON
PO BOX 7627
MOBILE, AL 36670-0627
Phone number: 251-633-7211
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