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Individual
EVAN CHARLES DEAN
Active
Individual
EVAN CHARLES DEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
12135482-8900
UT
363L00000X
Nurse Practitioner
NP95013935
CA
363LF0000X
Family Nurse Practitioner
Primary
95013935
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
MEDICARE
CA
Enumeration date
02/24/2020
Last updated
12/14/2023
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