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Individual
AARON PHELAN
Active
Individual
AARON PHELAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
TP166
KY
390200000X
Student in an Organized Health Care Education/Training Program
11018256A
IN
Other
Enumeration date
06/15/2015
Last updated
07/15/2020
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