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Individual
EBONY ONIKKA HARVEY
Active
Individual
EBONY ONIKKA HARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Taxonomy
Speciality
Code
Description
License number
State
163WR0400X
Rehabilitation Registered Nurse
Primary
1640363
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1640363
NURSING LICENCE
CO
Enumeration date
06/19/2018
Last updated
06/19/2018
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