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Individual
EDWIN JAMES VARTANIAN
Active
Individual
EDWIN JAMES VARTANIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN BSN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R51777
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R51777
STATE RN LICENSE
SC
Enumeration date
07/13/2007
Last updated
07/13/2007
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