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Individual
MISS RE'SHEL JERICIA FREEMAN I
Active
Individual
MISS RE'SHEL JERICIA FREEMAN I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
732865
NY
164W00000X
Licensed Practical Nurse
317503-1
NY
Other
Enumeration date
12/02/2014
Last updated
11/15/2019
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