Individual
ABBY GAYLE EDGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18408 WAYNE ROUTE D, WAPPAPELLO, MO 63966-8659
(573) 222-8676
Mailing address
18408 WAYNE ROUTE D, WAPPAPELLO, MO 63966-8659
(573) 222-8676
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
MO
Other
Enumeration date
05/25/2023
Last updated
09/10/2024
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