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Individual

ELIZABETH MARY EDLING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NLC, MA

Contact information

Practice address
8321 STEADMAN DR, COLORADO SPRINGS, CO 80920-7058
(719) 888-9110
Mailing address
8321 STEADMAN DR, COLORADO SPRINGS, CO 80920-7058
(719) 888-9110

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20171447254
TRADE NAME
Enumeration date
06/15/2017
Last updated
07/21/2022
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