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Individual
MALCOLM KERRY DIRTON
Active
Individual
MALCOLM KERRY DIRTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HEALTHCARE ADMIN.
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
IHCP-0379
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EX1262
—
SC
Enumeration date
08/26/2021
Last updated
08/26/2021
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