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Individual
ERIC BORNEMANN
Active
Individual
ERIC BORNEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, CPNP-PC
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
17935
TN
363LP0200X
Pediatric Nurse Practitioner
RN2281187
MA
Other
Enumeration date
10/10/2013
Last updated
10/10/2013
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