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Individual
MS. ILA MAE
Active
Individual
MS. ILA MAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN RN
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
R035036
ME
163WG0000X
General Practice Registered Nurse
R035036
ME
163WH0200X
Home Health Registered Nurse
Primary
R035036
ME
163WH1000X
Hospice Registered Nurse
R035036
ME
Other
Enumeration date
02/07/2012
Last updated
02/01/2013
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