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Individual
EDWARD GENE UNRUH
Active
Individual
EDWARD GENE UNRUH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGNP-C
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
209023162
IL
363LP2300X
Primary Care Nurse Practitioner
28294630A
IN
Other
Enumeration date
07/28/2021
Last updated
07/16/2025
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