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Individual
CHOP EDWIN SHERMUTANG
Active
Individual
CHOP EDWIN SHERMUTANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN500014195
DC
163WC1500X
Community Health Registered Nurse
RN500014195
DC
Other
Enumeration date
08/29/2024
Last updated
08/29/2024
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