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Individual
MARIE A MANCE
Active
Individual
MARIE A MANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041.220813
IL
163W00000X
Registered Nurse
28105968A
IN
Other
Enumeration date
05/09/2015
Last updated
05/09/2015
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