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Individual

GLORIA J KOCHER

Active
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Individual

GLORIA J KOCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28139326A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000479783
ANTHEM PROVIDER NUMBER
IN
01
11573406
CAQH NUMBER
IN
05
200176990
IN
01
9436026
PHCS PID NUMBER
IN
Enumeration date
05/10/2006
Last updated
12/04/2009
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