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Individual

MARK EDELMAN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2208 N WEBB RD UNIT 4, GRAND ISLAND, NE 68803-1756
(308) 381-1690
Mailing address
2208 N WEBB RD UNIT 4, GRAND ISLAND, NE 68803-1756
(308) 381-1690

Taxonomy

Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
NE

Other

Enumeration date
02/14/2026
Last updated
02/14/2026
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