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Individual
MARIE ILSE
Active
Individual
MARIE ILSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0030457
OH
363LF0000X
Family Nurse Practitioner
18537
SC
363LF0000X
Family Nurse Practitioner
9469719
FL
363LF0000X
Family Nurse Practitioner
AP127950
TX
Other
Enumeration date
10/15/2013
Last updated
08/16/2022
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