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1891862686
EDWIN LARRY ELLEDGE
AIKEN, SC
NPI
1891862686
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2006-11-29
Last Update Date
2007-07-08
Business Address
-- EDWIN LARRY ELLEDGE
1135 GREGG HWY
AIKEN, SC 29801-6341
Phone number: 803-641-7700
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Mailing Address
-- EDWIN LARRY ELLEDGE
1135 GREGG HWY
AIKEN, SC 29801-6341
Phone number: 803-641-7700
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