Individual
EDSON CUIRIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1427 FIR LN, AVON, IN 46123-7195
(217) 274-5633
Mailing address
1427 FIR LN, AVON, IN 46123-7195
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
714526
—
IN
Enumeration date
10/27/2019
Last updated
10/27/2019
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