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Individual

DAWN JOY EDGAR

Active
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Individual

DAWN JOY EDGAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMP

Taxonomy

Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
MA 60217498
WA
225700000X
Massage Therapist
Primary
MA 60217498
WA

Other

Enumeration date
05/07/2011
Last updated
05/07/2011
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