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EDWARD SEDORY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC, EMT

Contact information

Practice address
24164 MONTEZUMA AVE, THE BASIC SCHOOL - S3/ ATR, QUANTICO, VA 22134-5123
(703) 784-6558
Mailing address
3713 ALBERTA DR, FREDERICKSBURG, VA 22408-7714

Taxonomy

Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
B061117703
VA
2255A2300X
Athletic Trainer
Primary
0126000778
VA

Other

Enumeration date
02/16/2009
Last updated
02/16/2009
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