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1609596592
EDWARD WATERS UNIVERSITY
JACKSONVILLE, FL
NPI
1609596592
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Entity Type
Organization
Authorized Contact
MOUZON BASS
CEO/Administrator
972-367-4845
Organization Subpart ?
No
Primary Taxonomy
207QS0010X Family Medicine Sports Medicine
Enumeration Date
2022-08-31
Last Update Date
2022-08-31
Business Address
EDWARD WATERS UNIVERSITY
1658 KINGS RD
JACKSONVILLE, FL 32209-6167
Phone number: 972-367-4845
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Mailing Address
EDWARD WATERS UNIVERSITY
15305 DALLAS PKWY STE 800
ADDISON, TX 75001-6415
Phone number: 972-367-4845
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