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Deneb Edwards, M.T
NPI 1023489218 · on the registry since 2015 · sole proprietor
Practice
- Address
- 1315 Oakley Ave
Burley, ID 83318 - Phone
- (208) 244-2585
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-10-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho