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Individual

DR. EDWARD LEE EATON

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10633 GRISSOM AVE, MATHER, CA 95655-4123
(916) 355-5420
Mailing address
15013 ANILLO WAY, RANCHO MURIETA, CA 95683-9422
(916) 270-9747

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
15705
KS

Other

Enumeration date
02/21/2006
Last updated
07/08/2007
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