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Individual
MAYONG WHITMAN
Active
Individual
MAYONG WHITMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1124261
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124261
REGISTERED NURSE
KY
Enumeration date
05/09/2019
Last updated
05/09/2019
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