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Individual
MICHAEL JASPER IGHO
Active
Individual
MICHAEL JASPER IGHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041489427
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209031001
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
291077
AZ
Other
Enumeration date
09/21/2024
Last updated
01/10/2025
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