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Individual
ALICIA NELSON
Active
Individual
ALICIA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
28235341A
IN
363L00000X
Nurse Practitioner
3013747
KY
363L00000X
Nurse Practitioner
Primary
71009270A
IN
Other
Enumeration date
08/16/2019
Last updated
08/26/2019
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