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Individual
KATIE D ALDRIDGE
Active
Individual
KATIE D ALDRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28212117A
IN
363LA2200X
Adult Health Nurse Practitioner
Primary
71007247B
IN
Other
Enumeration date
03/15/2017
Last updated
12/09/2021
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