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Individual
MARTHA EUGENE
Active
Individual
MARTHA EUGENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
738393
NY
251J00000X
Nursing Care Agency
8733919
NY
Other
Enumeration date
11/30/2015
Last updated
11/05/2021
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