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Individual
MR. VERNON MICHAEL SMITH
Active
Individual
MR. VERNON MICHAEL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209-000798
IL
363LA2100X
Acute Care Nurse Practitioner
209-000798
IL
363LC1500X
Community Health Nurse Practitioner
209-000798
IL
363LP0200X
Pediatric Nurse Practitioner
Primary
209-000798
IL
Other
Enumeration date
07/03/2008
Last updated
07/03/2008
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