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Individual

MRS. ROBIN DOMM BURCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NNP-BC

Taxonomy

Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
RN065363 NP
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
624183405A
GA
Enumeration date
09/10/2008
Last updated
11/29/2011
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