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Individual
LINDA ELLEN LOUDERMILK
Active
Individual
LINDA ELLEN LOUDERMILK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
C0001027
MD
Other
Enumeration date
10/03/2006
Last updated
09/06/2007
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