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Sirfreebird Edwards
NPI 1114360278 · on the registry since 2013 · sole proprietor
Practice
- Address
- 623 E Illinois Ave
Enid, OK 73701 - Phone
- (580) 977-8602
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Also registered as
- 102X00000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-04-09
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 Oklahoma