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Individual
JUDIE KANE
Active
Individual
JUDIE KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PPCNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
84038
WV
Other
Enumeration date
01/20/2017
Last updated
01/31/2018
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