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Individual
MRS. MINI VARGHESE
Active
Individual
MRS. MINI VARGHESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704223519
MI
363L00000X
Nurse Practitioner
Primary
4704223519
MI
363LA2100X
Acute Care Nurse Practitioner
4704223519
MI
Other
Enumeration date
09/02/2011
Last updated
03/01/2021
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