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1821231127
JAMES EDWARDS
LA PORTE, IN
NPI
1821231127
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2083A0100X Preventive Medicine, Aerospace Medicine
(Licence: IN 01022151A)
Enumeration Date
2009-04-16
Last Update Date
2009-04-16
Business Address
-- JAMES EDWARDS M.D.
2341 S STATE ROAD 39
LA PORTE, IN 46350-8128
Phone number: 219-362-0099
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Mailing Address
-- JAMES EDWARDS M.D.
2114 WOODLAWN DR
LA PORTE, IN 46350-6105
Phone number: 219-362-0099
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