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Individual
MR. GARRY LEE ZEMBOWER JR.
Active
Individual
MR. GARRY LEE ZEMBOWER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27040913A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27040913A
PRACTICAL NURSING LICENSE
IN
Enumeration date
06/07/2007
Last updated
07/08/2007
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