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Individual

BEATRICE BAMIKOLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2267018
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN2267018
MA

Other

Enumeration date
02/22/2011
Last updated
12/17/2020
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