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Individual
JANELLE L IRVIN
Active
Individual
JANELLE L IRVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HMC
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
24-41360-111 IV
KS
171M00000X
Case Manager/Care Coordinator
2441360111IV
KS
Other
Enumeration date
10/04/2011
Last updated
10/04/2011
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