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Individual
HARRY AVELLONA
Active
Individual
HARRY AVELLONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
20120540
IL
363L00000X
Nurse Practitioner
Primary
95009004
CA
Other
Enumeration date
02/13/2018
Last updated
11/19/2019
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