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Individual
PEARL DYKES
Active
Individual
PEARL DYKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4007219
KY
376K00000X
Nurse's Aide
50210338
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4007219
—
KY
05
—
50210338
—
KY
Enumeration date
05/05/2020
Last updated
11/13/2023
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