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Individual
EDWARD J BATES
Active
Individual
EDWARD J BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
CA
Other
Enumeration date
02/18/2021
Last updated
04/15/2021
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