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Individual
EDWINA CHILDS
Active
Individual
EDWINA CHILDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703114103
MI
251E00000X
Home Health Agency
—
NULL
251J00000X
Nursing Care Agency
—
NULL
Other
Enumeration date
12/28/2022
Last updated
12/28/2022
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