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Individual
VALLI JO FLYNN
Active
Individual
VALLI JO FLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN230378
MA
363LC1500X
Community Health Nurse Practitioner
11002027
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11002027
APRN LICENSE
FL
Enumeration date
12/23/2019
Last updated
10/21/2020
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