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Individual
ANGELA R IRVIN
Active
Individual
ANGELA R IRVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4734P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200861110
—
IN
05
—
78018280
—
KY
Enumeration date
02/14/2007
Last updated
01/12/2010
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