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Individual
MARY KATHLEEN SKAFIDAS
Active
Individual
MARY KATHLEEN SKAFIDAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A177230
IA
363LF0000X
Family Nurse Practitioner
209025069
IL
363LF0000X
Family Nurse Practitioner
A177230
IA
Other
Enumeration date
04/08/2022
Last updated
05/23/2024
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