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Individual
IRHENE KELVIN OSAGIE
Active
Individual
IRHENE KELVIN OSAGIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2302584
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2302584
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN2302584
MA
Other
Enumeration date
10/28/2013
Last updated
03/20/2023
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