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Individual

DEMETRIUS LEE EDWARDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
805 S MORGAN AVE, ALLIANCE, OH 44601-3214
(330) 206-3236
Mailing address
805 S MORGAN AVE, ALLIANCE, OH 44601-3214
(330) 206-3236

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary

Other

Enumeration date
08/28/2024
Last updated
08/28/2024
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Product
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