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Individual
KEENA ROSE OWEN
Active
Individual
KEENA ROSE OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
902274
MS
163WC1500X
Community Health Registered Nurse
902274
MS
Other
Enumeration date
06/22/2018
Last updated
06/22/2018
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