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DENA LOUISE EDWARDS

Other Service Providers Driver

Provider NPI: 1891248761

Provider Information:
 DENA LOUISE EDWARDS 
Gender: F
Not Sole Proprietor

Practice Location:
107 S UNIVERSITY ST  VERMILLION, SD 57069-3213 US
Tel: 605-868-9376  Fax: --

Business Mailing Address:
107 S UNIVERSITY ST  VERMILLION, SD 57069-3213 US
Tel: 605-868-9376  Fax: --

NPI Information:
NPI: 1891248761
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y172A00000XOther Service Providers
Driver

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 172A00000X

Type:

Classification:



Definition:



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