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Individual
TATIANA ALEXEEV
Active
Individual
TATIANA ALEXEEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
209013872
IL
261QM2500X
Medical Specialty Clinic/Center
Primary
209013872
IL
363LA2200X
Adult Health Nurse Practitioner
277000101
IL
Other
Enumeration date
03/23/2016
Last updated
03/24/2020
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