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EDMOND ABDOU

>> Organized Health Care Education/Training Program >> Student

Registrant NPI Number: 1386225316

Individual Registrant:
 EDMOND  ABDOU 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
975 SERENO DR  VALLEJO, CA 94589-2441 US
Tel: 707-651-4071  Fax: --

Contact information for business:
975 SERENO DR  VALLEJO, CA 94589-2441 US
Tel: 707-651-4071  Fax: --

Registration Information:
NPI: 1386225316
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y390200000XStudent
Organized Health Care Education/Training Program

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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