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Individual
VICTORIA IOAN INGLE
Active
Individual
VICTORIA IOAN INGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-08131
NC
363AM0700X
Medical Physician Assistant
0010-08131
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972078335
—
NC
Enumeration date
10/11/2018
Last updated
09/05/2019
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