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Individual
VICKIE S BURCH
Active
Individual
VICKIE S BURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
28183517A
IN
363LF0000X
Family Nurse Practitioner
Primary
363LF0000X
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518100353
—
OH
Enumeration date
04/09/2009
Last updated
02/01/2024
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