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Individual
SANDRA K CORD
Active
Individual
SANDRA K CORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28102000A
IN
363LA2200X
Adult Health Nurse Practitioner
Primary
71003596A
IN
Other
Enumeration date
04/26/2011
Last updated
04/26/2011
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