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Individual
MRS. GRETA W. ABRAHAM
Active
Individual
MRS. GRETA W. ABRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
1568830404
IL
363LP2300X
Primary Care Nurse Practitioner
209013110
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
311575142
VETERAN AFFAIRS - DEPARTMENT OF DEFENSE
IL
Enumeration date
09/09/2015
Last updated
02/08/2018
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