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Individual
DR. JUDITH ELIZABETH AVERY
Active
Individual
DR. JUDITH ELIZABETH AVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-BC, PHD
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
BRN420174
CA
163WP0808X
Psychiatric/Mental Health Registered Nurse
R 97470
MP
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RE 1122
GU
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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