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Individual
MRS. RUTHIE CELESTINE GAVIN
Active
Individual
MRS. RUTHIE CELESTINE GAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
041.322139
IL
363LF0000X
Family Nurse Practitioner
209.019276
IL
Other
Enumeration date
02/28/2019
Last updated
09/29/2026
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