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Individual

EDWARD HERNANDEZABREU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(757) 921-5238
Mailing address
2804 RIDGEPOLE DR, CLARKSVILLE, TN 37040-9506

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
09/10/2025
Last updated
09/10/2025
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