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Individual
COREY LYNNE ANDRADE
Active
Individual
COREY LYNNE ANDRADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
002420
OH
363A00000X
Physician Assistant
004345
OH
363A00000X
Physician Assistant
Primary
094440
IA
363A00000X
Physician Assistant
1899
NE
Other
Enumeration date
03/06/2015
Last updated
08/23/2019
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