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Individual
GRACE E INYANG
Active
Individual
GRACE E INYANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
D0061308
MD
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
D0061308
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2134321
MDIPA MAMSI OCI
—
01
—
230498
KAISER
—
05
—
407822501
—
MD
01
—
482975
VALUE OPTIONS
—
01
—
K1960001
BLUECROSSBLUESHIELD FED
—
Enumeration date
01/23/2007
Last updated
06/16/2008
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