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Individual

GABRIEL ADAM BORISUK

Active
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Individual

GABRIEL ADAM BORISUK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
71009118A
IN
363LF0000X
Family Nurse Practitioner
71009118A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
28208891A
INDIANA STATE BOARD OF NURSING
IN
05
300029680
IN
05
7100607100
KY
Enumeration date
05/06/2019
Last updated
11/06/2025
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