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Individual
MR. EVERISTUS BASIL ITIE
Active
Individual
MR. EVERISTUS BASIL ITIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
12/01/2006
Last updated
12/20/2011
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