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Individual
JOYCE VAVRA
Active
Individual
JOYCE VAVRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A-044641
IA
363L00000X
Nurse Practitioner
Primary
A044641
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0767079
—
IA
Enumeration date
05/17/2007
Last updated
09/10/2008
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