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Individual
THEA FLEMING
Active
Individual
THEA FLEMING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
R 188429-6
MN
363LP0200X
Pediatric Nurse Practitioner
Primary
CNP 4685
MN
Other
Enumeration date
05/06/2016
Last updated
07/22/2016
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