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Individual
WILLIAM G PUMPHREY
Active
Individual
WILLIAM G PUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28182074A
IN
363LF0000X
Family Nurse Practitioner
Primary
71006021A
IN
363LF0000X
Family Nurse Practitioner
71006021B
IN
Other
Enumeration date
01/11/2016
Last updated
06/30/2023
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