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Individual
MRS. ABIGAIL G BORIS
Active
Individual
MRS. ABIGAIL G BORIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28191010A
IN
363LA2200X
Adult Health Nurse Practitioner
Primary
71007760A
IN
363LG0600X
Gerontology Nurse Practitioner
71007760A
IN
Other
Enumeration date
01/24/2017
Last updated
08/02/2018
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