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Individual
VICTORIA LYNN BISHOP
Active
Individual
VICTORIA LYNN BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CADC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704270759
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704270759
LICENSE NUMBER
MI
Enumeration date
01/11/2018
Last updated
01/11/2018
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