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Individual
ALEYSA RAYMOND
Active
Individual
ALEYSA RAYMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN203795
AZ
163WG0600X
Gerontology Registered Nurse
041.385179
IL
163WG0600X
Gerontology Registered Nurse
Primary
AP9620
AZ
363LG0600X
Gerontology Nurse Practitioner
209.013442
IL
Other
Enumeration date
10/19/2015
Last updated
01/30/2017
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