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Individual
DR. EDWIN EMMANUEL NEBBLETT
Active
Individual
DR. EDWIN EMMANUEL NEBBLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
99-267
NM
207Q00000X
Family Medicine Physician
G152996
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
99-267
STATE LICENSE
NM
Enumeration date
11/03/2005
Last updated
09/24/2024
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