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Individual

MARY EDWARDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
105 WEST 14TH AVE, GULF SHORES, AL 36542
(251) 500-1025
(251) 500-1013
Mailing address
PO BOX 3849, GULF SHORES, AL 36547-3849
(251) 500-1025
(251) 500-1013

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6029
AL

Other

Enumeration date
01/10/2014
Last updated
01/10/2014
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