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Individual
JULIE VYHANEK
Active
Individual
JULIE VYHANEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10004637A
IN
363A00000X
Physician Assistant
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300100003
—
IN
Enumeration date
10/01/2024
Last updated
12/18/2024
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