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MR. FLOYD DALE EDWARDS

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
LPN

Contact information

Practice address
1650 COCHRANE CIRRCLE, USA MEDDAC / EVANS ARMY COMMUNITY HOSPITAL, FORT CARSON, CO 80913-4604
(719) 526-7649
(719) 526-7019
Mailing address
3912 BREAKING DAWN ST, COLORADO SPRINGS, CO 80925-1123
(719) 391-5116
(719) 391-5117

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27927
CO

Other

Enumeration date
06/07/2006
Last updated
07/08/2007
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