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Individual
SHANTY VARUGHESE
Active
Individual
SHANTY VARUGHESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
R0072132
OK
363L00000X
Nurse Practitioner
Primary
72132
OK
Other
Enumeration date
06/21/2017
Last updated
08/27/2018
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