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Individual

DR. ELIZABETH EDMISTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD, RN

Contact information

Practice address
1612 MALLARD DR, MAYFIELD HEIGHTS, OH 44124-3031
(419) 565-8579
Mailing address
1612 MALLARD DR, MAYFIELD HEIGHTS, OH 44124-3031
(419) 565-8579

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN.360267
OH

Other

Enumeration date
04/15/2020
Last updated
04/15/2020
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