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Individual

ASHLEY EDMONSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11121 STATE HIGHWAY 7 E, JOAQUIN, TX 75954-4069
(318) 508-0019
Mailing address
PO BOX 1131, MANY, LA 71449-1131
(318) 509-0019

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary

Other

Enumeration date
11/20/2023
Last updated
11/20/2023
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