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Individual
ERNESTINE GEORGETTA FRASER
Active
Individual
ERNESTINE GEORGETTA FRASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
59359
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
549359
RN LICENSE
NY
Enumeration date
06/14/2010
Last updated
06/14/2010
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