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Individual
EVE-LYNN NELSON
Active
Individual
EVE-LYNN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1290
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35085031
BCBS KANSAS CITY
MO
Enumeration date
08/30/2006
Last updated
07/09/2007
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