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Individual

TANGELA EDWARDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
801 E SEYMOUR, MUNCIE, IN 47302-2578
(765) 215-1006
Mailing address
801 E SEYMOUR ST, MUNCIE, IN 47302-2578
(765) 215-1006

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
02/10/2016
Last updated
02/10/2016
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