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Individual

MS. TRACIE DAWN EDWARDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
HEARING AID SPECIALI

Contact information

Practice address
7760 ROUTE 417 W, BOLIVAR, NY 14715
(585) 928-1657
Mailing address
7760 RT 417 WEST, BOLIVAR, NY 14715
(585) 928-1657

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
15000016138
NY
237700000X
Hearing Instrument Specialist
F03199
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
15000016138
HEARING AID DISPENSER
NY
01
F03199
HEARING AID DISPENSER
PA
Enumeration date
07/28/2008
Last updated
03/11/2009
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