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Individual

MR. EDWIN JAMES STOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
8602 PEACH AVE, LUBBOCK, TX 79404-7777
(806) 745-1021
(806) 748-1726
Mailing address
3612 38TH ST, LUBBOCK, TX 79413-2630
(806) 787-4167

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP141486
TX

Other

Enumeration date
04/29/2019
Last updated
04/29/2019
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