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Individual
RAY A ERVIN
Active
Individual
RAY A ERVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
021924
OH
363L00000X
Nurse Practitioner
Primary
3011811
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0255888
—
OH
05
—
7100529910
—
KY
Enumeration date
10/11/2017
Last updated
05/15/2023
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