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Individual
MS. AMY LORRAINE SOBAS
Active
Individual
MS. AMY LORRAINE SOBAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71000257A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200505960A
—
IN
Enumeration date
06/20/2006
Last updated
09/15/2020
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