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Individual
GLORIA R WEST
Active
Individual
GLORIA R WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
043633
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0159608
—
IA
01
—
07466
WELLMARK BCBS
IA
Enumeration date
10/17/2006
Last updated
02/11/2009
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