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1750744090
EDGAR DAMIAN
FORT BRAGG, CA
NPI
1750744090
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2016-04-04
Last Update Date
2023-04-12
Business Address
EDGAR DAMIAN
32670 HIGHWAY 20 UNIT 2
FORT BRAGG, CA 95437-5708
Phone number: 707-964-1136
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Mailing Address
EDGAR DAMIAN
PO BOX 2077
UKIAH, CA 95482-2077
Phone number: 707-472-2922
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