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1659351914
KENDRA DIAN EDGE
WINSTON SALEM, NC
NPI
1659351914
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 102842)
Enumeration Date
2006-01-20
Last Update Date
2024-07-29
Business Address
KENDRA DIAN EDGE PA
2025 FRONTIS PLAZA BLVD STE 100
WINSTON SALEM, NC 27103-5663
Phone number: 336-718-6199
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Mailing Address
KENDRA DIAN EDGE PA
PO BOX 751803
CHARLOTTE, NC 28275-1803
Phone number: 336-718-6169
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