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Individual

MRS. RICKI LOAR

Active
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Individual

MRS. RICKI LOAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209-001078
IL
363LF0000X
Family Nurse Practitioner
R0086728
OK
363LG0600X
Gerontology Nurse Practitioner
209-001078
IL
363LG0600X
Gerontology Nurse Practitioner
209001078
IL
363LG0600X
Gerontology Nurse Practitioner
R0086728
OK

Other

Enumeration date
07/12/2005
Last updated
01/12/2023
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