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Individual
MS. DESERET ROBIN BUTLER
Active
Individual
MS. DESERET ROBIN BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
1736461
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1736461
NURSING LICENSE
NY
Enumeration date
01/25/2010
Last updated
01/27/2010
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