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Organization
DILIGENT MEDICAL
Active
Organization
DILIGENT MEDICAL
Active
Other names
EDGE ENTERPRISES
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OLANDO WAYNE FULLER QMHP (OWNER)
(804) 253-7075
Entity
Organization
Contact information
Practice address
2605 EAGLE ROCK CT, CHESTER, VA 23831-7051
(804) 253-7075
Mailing address
2605 EAGLE ROCK CT, CHESTER, VA 23831-7051
(804) 253-7075
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
NULL
Other
Enumeration date
02/12/2021
Last updated
02/12/2021
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