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Individual
VICKIE L ANDERSON
Active
Individual
VICKIE L ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.R.N.
Taxonomy
Speciality
Code
Description
License number
State
364SP0200X
Pediatric Clinical Nurse Specialist
Primary
84-193708-4405
UT
Other
Enumeration date
07/11/2007
Last updated
01/27/2011
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