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MRS. EDITH MARIE EVANS

>> Case Manager/Care Coordinator >> Other Service Providers

Registrant NPI Number: 1326321258

Individual Registrant:
MRS. EDITH MARIE EVANS 
Gender: F
Sole Proprietor

Location and contact information for practice:
2891 C.R. 615B  BUSHNELL, FL 33513 US
Tel: 407-385-9331  Fax: --

Contact information for business:
2891 C.R. 615B  BUSHNELL, FL 33513 US
Tel: 407-385-9331  Fax: --

Registration Information:
NPI: 1326321258
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y171M00000XOther Service Providers
Case Manager/Care Coordinator

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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