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Individual
MRS. MISTY FIELDS
Active
Individual
MRS. MISTY FIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3650
OTHER
LA
Enumeration date
07/28/2022
Last updated
07/28/2022
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